Do they give a group after a heart attack and how to arrange it

Is there a disability after a heart attack and stenting?

Myocardial infarction is a serious condition, which is accompanied by ischemia and necrosis of a certain part of his muscle. This pathology is irreversible - dead cells will not be able to recover or grow again. It requires a long period of treatment and rehabilitation, which do not always lead to the resumption of normal organ function. Therefore, patients are entitled to a disability (permanent or temporary). Also, patients often need to change their profession, especially if their activities are associated with harmful production.

Stenting is a minimally invasive operation performed with a special catheter, during which a portion of the coronary artery is enlarged in order to improve the blood supply to the myocardium.

Although this surgical intervention does not open the chest and subsequently does not require a lot of time for rehabilitation, nevertheless, after it, a disability can be issued. This happens not in connection with the fact of the operation, but rather taking into account the disease, which required the intervention.

Decision criteria: what determines the verdict

I draw your attention to the fact that absolutely all patients who have suffered a massive heart attack are entitled to four months of paid rehabilitation according to the certificate of incapacity for work. Only at the end of this period can you think about how to get a disability group.

Based on experience, I can say that about 40-50% of patients recover quite well over the past period of treatment and can start their professional duties if their work is not associated with increased physical activity, but we will talk about this later. The rest of the patients, on the recommendation of the attending physician, can be examined in medical and social expert commission to establish the fact of disability.

This body evaluates the subject according to the following parameters:

• the possibility of self-service in everyday life;
• the ability to return to the previous profession;
• patient education;
• general indicators of health, which will allow us to judge the degree of recovery from the transferred pathology.

Taking into account the above, disability with myocardial infarction is given to persons who:

• performed work, accompanied by frequent stress and requiring increased attention or excessive physical activity;
• have reached retirement age;
• have undergone surgical interventions on coronary vessels (bypass grafting, stenting, etc.);
• have consequences of the disease (heart failure, unstable angina pectoris);
• lost the ability to work by 50% or more;
• underwent rehabilitation for over 4 months.

You must understand that even if you fall into one of the categories, this is not a guarantee of assigning a disability group. Each case is considered by the commission individually and a large number of different factors (concomitant pathologies, complications) are taken into account.

What group and in what case is given

In total, there are three groups of disability, one or another is formed not as a result of a suffered heart attack, but against the background of complications that developed after it. The survey procedure in MSEC is fixed Government Decree No. 95 (dated 20.02.06).

The table lists the groups and examples of reasons for obtaining them.

Where to contact

The procedure for registration of disability begins with a visit to the doctor, who will assess the degree of restoration of the function of the cardiovascular system after the end of treatment. If the specialist considers your condition satisfactory, then he can close the sick leave and discharge you. Also, the patient has the right to contact the social security service.

Collecting a package of documents opens the receipt of a referral to MSEC at the polyclinic at the place of residence - form 088 / u-06. After that, having written an application addressed to the chief and attaching the necessary originals and copies, you can go to the examination bureau. There you will be assigned the date of the examination, at which the commission will decide on the presence or absence of signs of disability. The verdict is usually communicated orally and a written opinion is issued.

List of documents

For this procedure, you will need the following documents:

• the passport;
• referral to MSEC (form 088 / u-06), issued by the attending cardiologist or social security service;
• patient card from the outpatient clinic, hospital discharge and other medical documentation, which fully confirms the diagnosis and describes the patient's state of health;
• a statement written to the head of the examination bureau;
• a copy of the work book, certified by the seals of the organization in which the patient works;
• a detailed description of the working conditions from the place of work and a list of the patient's duties;
• if available, a pension insurance policy is attached.

Legal reasons for refusal

Please be aware that MSEC may legally refuse to obtain a disability. This happens if:

• treatment and rehabilitation of the patient were carried out to a sufficient extent, which prevents the possibility of relapse or complications;
• the patient is fully able to work and can independently fully serve himself;
• the specialty of the attested does not require significant psycho-emotional stress, concentration or change of place of work.

In case of refusal, the patient has the right to reapply to the examination bureau for examination in the same manner. If, after that, the disability group is not assigned, you can submit documents to the Federal body MSEC, and then to the court.

Professions that become prohibited after suffering myocardial infarction

After suffering myocardial infarction, there is a group of professions that are not recommended for patients, as they increase the risk of recurrence of the disease or the appearance of its complications.These include:

• work related to prolonged physical activity (walking, standing) - sellers, couriers, postmen;
• labor activity in airlines - flight attendants, pilots, flight attendants;
• specialties requiring the tension of cognitive functions (attention, thinking) - drivers, crane operators;
• professions that involve night shifts, daily schedule.

There will also be a change of place of work for those who were associated with hazardous production conditions (metallurgy, mining, etc.), on a rotational basis, located at a distance from settlements.