{"page":"https://casescribe.ai/explorer/conditions/arteriosclerotic-heart-disease-coronary-artery-disease","generated_at":"2026-10-03T18:34:32.343Z","data_as_of":{"decisions":944125,"first_year":2017,"last_year":2026,"latest_decision":"2026-04-30","cfr":"2026-10-01","m21":"2026-09-29"},"about":{"publisher":"CaseScribe AI (VA Law Explorer)","source":"Public Board of Veterans' Appeals decisions (appeals of VA decisions, not VA's first decisions), M21-1 Adjudication Procedures Manual, 38 CFR Parts 3 and 4.","method":"Outcomes are issue-level: each condition the Board decided in a decision counts once. Decision data is extracted by AI and can contain errors. Rates describe past appeals and do not predict any claim.","disclaimer":"For research only. CaseScribe AI is not a law firm and this is not legal advice. Verify figures against the source decisions and regulations.","attribution":"Cite as: VA Law Explorer, CaseScribe AI, with the page URL."},"data":{"condition":"Arteriosclerotic heart disease (coronary artery disease)","all_conditions_granted_pct":19.4,"decisions":11747,"years":"2017-2026","granted_pct":27.8,"denied_pct":35.4,"remanded_pct":35.3,"granted_on_merits_pct":44,"by_year":[{"year":2017,"issues":621,"granted_pct":13.7,"denied_pct":45.9,"remanded_pct":33},{"year":2018,"issues":1062,"granted_pct":16.5,"denied_pct":44.2,"remanded_pct":35},{"year":2019,"issues":1459,"granted_pct":23.1,"denied_pct":37.2,"remanded_pct":37.1},{"year":2020,"issues":1704,"granted_pct":22.9,"denied_pct":35.5,"remanded_pct":39.2},{"year":2021,"issues":1508,"granted_pct":27.1,"denied_pct":36.1,"remanded_pct":34.3},{"year":2022,"issues":1573,"granted_pct":32.7,"denied_pct":33.7,"remanded_pct":31},{"year":2023,"issues":1536,"granted_pct":32.1,"denied_pct":32.4,"remanded_pct":32.6},{"year":2024,"issues":1155,"granted_pct":32.1,"denied_pct":30.6,"remanded_pct":34.5},{"year":2025,"issues":1072,"granted_pct":31.3,"denied_pct":33.2,"remanded_pct":34},{"year":2026,"issues":498,"granted_pct":38.4,"denied_pct":33.7,"remanded_pct":26.3}],"benefit_of_doubt_in_grants_pct":70.3,"evidence_on_merits":[{"evidence":"va_exam_favorable","decisions_with":1315,"granted_pct_with":61.9,"granted_pct_without":40.9},{"evidence":"va_exam_unfavorable","decisions_with":7177,"granted_pct_with":34.8,"granted_pct_without":63.1},{"evidence":"nexus_positive","decisions_with":1488,"granted_pct_with":65.4,"granted_pct_without":40.1},{"evidence":"nexus_negative","decisions_with":4364,"granted_pct_with":33.1,"granted_pct_without":51},{"evidence":"private_opinion","decisions_with":4147,"granted_pct_with":43.8,"granted_pct_without":44.1},{"evidence":"treating_physician","decisions_with":785,"granted_pct_with":47.4,"granted_pct_without":43.7},{"evidence":"lay_statement","decisions_with":8600,"granted_pct_with":41.5,"granted_pct_without":53},{"evidence":"buddy_statement","decisions_with":522,"granted_pct_with":67.2,"granted_pct_without":42.7},{"evidence":"combat_service","decisions_with":918,"granted_pct_with":54.1,"granted_pct_without":43.1}],"top_reasons":{"granted":[{"reason":"current diagnosis established","decisions":504},{"reason":"veteran served in thailand during vietnam era","decisions":79},{"reason":"presumed exposure to herbicide agents","decisions":52},{"reason":"caused by the service-connected disability","decisions":45},{"reason":"conceded herbicide exposure","decisions":35},{"reason":"presumption of herbicide exposure due to vietnam service","decisions":30}],"denied":[{"reason":"preponderance of the evidence against the claim","decisions":486},{"reason":"no in-service complaints, treatment or diagnosis","decisions":346},{"reason":"service records negative or silent","decisions":261},{"reason":"no current diagnosis","decisions":251},{"reason":"va examiner: less likely than not related to service","decisions":223},{"reason":"no continuity of symptomatology","decisions":131}]},"recent_examples":{"granted":[{"case_id":"A26040643","year":2026,"judge":"JENNIFER HWA","rationale":"Private medical opinion from treating provider found more probative; Opinion linked heart disability to military service in Iraq; Addressed Veteran's specific history and lack of risk factors; Resolved doubt in Veteran's favor"},{"case_id":"A26040465","year":2026,"judge":"T. RAYMOND","rationale":"Current ischemic heart disease diagnosis.; Qualifying service in the Republic of Vietnam.; Presumptive link to herbicide exposure under 38 U.S.C. § 1116A."},{"case_id":"A26040684","year":2026,"judge":"MICHAEL J. SKALTSOUNIS","rationale":"CAD is eligible for presumptive service connection based on herbicide exposure.; No presumptive service connection due to lack of Vietnam service or documented AO exposure.; Board found evidence in approximate balance for direct service connection of herbicide exposure.; Veteran's lay statements reg… [truncated, 119 chars omitted]"}],"denied":[{"case_id":"26005112","year":2026,"judge":"MICHELLE L. KANE","rationale":"No evidence of herbicide exposure in Taiwan.; No evidence of radiation exposure.; Condition did not onset during service or within one year of separation.; No continuity of symptoms from service to diagnosis."},{"case_id":"A26040464","year":2026,"judge":"JENNIFER WHITE","rationale":"No established in-service event (herbicide exposure); Service treatment records negative for heart disability; No VA examination required due to lack of in-service event"},{"case_id":"A26040509","year":2026,"judge":"M. C. GRAHAM","rationale":"Heart failure symptoms at >5-7 METs; Evidence weighs against higher rating; Benefit-of-the-doubt rule not applicable"}]},"how_va_rates":null,"rules":[]}}