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Board of Veterans' Appeals · AMA series

Entitlement to service connection for hypertension is denied.

July 30, 2026Citation Nr. A26069952Docket 260407-645620va.gov source

  • service connection for hypertensionDenied
  • service connection for erectile dysfunctionRemanded

Board reasoning

The Board found no current VA-diagnosed hypertension, supported by a March 2026 examination and treatment records, so service connection cannot be established absent a current disability. For erectile dysfunction, the Board remands to obtain an adequate medical opinion addressing direct service connection and secondary to ischemic heart disease; the March 2026 opinion was deemed inadequate for failing to consider the ischemic heart disease as an aggravating factor. The Board cites standards requiring a current disability for hypertension and proper medical nexus analysis for erectile dysfunction, and notes the need to correct pre-decisional duty-to-assist errors via remand.

Issues

  • service connection for hypertensionDenied
  • service connection for erectile dysfunctionRemanded

Authorities

  • Romanowsky v. Shinseki, 26 Vet. App. 289cited for requirement of current diagnosis
  • McClain v. Nicholson, 21 Vet. App. 319cited for diagnostic criteria and current disability
  • Jandreau v. Nicholson, 492 F.3d 1372cited for medical diagnosis limitations by layperson
  • Brammer v. Derwinski, 3 Vet. App. 223cited for need a formal diagnosis to grant service connection
  • Barr v. Nicholson, 21 Vet. App. 303cited for adequacy of medical opinion and duty to assist

Extracted with gpt-5-nano-2025-08-07. Citations are kept only when they appear in the decision text.