Evidence Checklist: Pericarditis

Echocardiogram documenting pericardial effusion or constrictionCritical

Echocardiography identifying pericardial effusion size, tamponade physiology, or constrictive pericarditis findings. Also captures ejection fraction to assess myocardial involvement.

ECG showing diffuse ST elevation or PR depression (acute) or low voltage (constrictive)Critical

Electrocardiogram documenting the characteristic ECG changes of pericarditis: diffuse saddle-shaped ST elevation and PR depression in acute phase, or low voltage with electrical alternans in effusion.

Nexus opinion linking pericarditis to service ("at least as likely as not")Critical

A medical opinion connecting pericarditis to viral illness during service, service-connected rheumatoid arthritis or lupus, post-cardiac surgery pericarditis, or other service-related cause.

Exercise stress test with METs estimationCritical

Stress test documenting functional exercise capacity in METs, particularly important for constrictive pericarditis where METs drive the rating level.

Inflammatory labs (CRP, ESR, troponin)

Laboratory markers documenting active inflammation (elevated CRP, ESR) and any myocardial involvement (troponin elevation) supporting pericarditis diagnosis.

Hospitalization records for acute pericarditis

Inpatient records from acute pericarditis episodes including treatment received (NSAIDs, colchicine, steroids) and any pericardiocentesis.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Heart ConditionsCritical

Standardized form capturing pericardial findings, ejection fraction, METs, and functional limitations from pericarditis.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.