Listing 4.04 · Cardiovascular disorders
Ischemic heart disease
To be approved under this listing, a claim must meet any one of the criteria below — and the medical records have to prove it.
- A
Sign- or symptom-limited exercise tolerance test demonstrating specific ischemic findings (ST-segment changes, drop in BP, ventricular arrhythmia) at workload ≤5 METs.
In plain terms: Have you had a stress test that had to be stopped early because of heart symptoms or abnormal findings?
Evidence required:Cardiac function test - B
Three separate ischemic episodes requiring revascularization (angioplasty, stent, bypass) within consecutive 12-month period.
In plain terms: In the past year, have you had three or more procedures to open or bypass blocked heart arteries?
Evidence required:Hospitalization recordTreating physician report - C
Documented coronary artery disease with ≥50% narrowing of nonbypassed left main, ≥70% narrowing of another nonbypassed major coronary artery, or ≥50% narrowing of bypassed coronary artery, AND inability to perform an exercise tolerance test at workload >5 METs.
In plain terms: Has a cardiac catheterization shown major artery blockages, and have you been unable to do a stress test at a normal workload?
Evidence required:Cardiac function testCT scanTreating physician report
Note · Listing 4.04 requires either A, B, or C — any one suffices.
Estimate the odds
Historical approval rates for a claim like this — by state, age, and stage.
Approval odds by condition
How claims for this body system fare through the process.
Other cardiovascular disorders listings
Source: SSA Listing of Impairments (Blue Book), 20 CFR Part 404, Subpart P, Appendix 1 · Updated 2026-07-31. Criteria paraphrased for readability; see the official SSA text linked above. Not legal or medical advice — whether a specific medical record meets Listing 4.04 is an individualized judgment SSA makes on the evidence.