Listing 4.05
Recurrent arrhythmias
This listing covers repeated irregular heart rhythms (arrhythmias) that keep causing fainting or near-fainting even with treatment.
Read the full plain-language explanation
SSA needs proof that the arrhythmia is not from a fixable cause (like a medication problem), that fainting or near-fainting happened at least three times in a 12-month period despite treatment, and that heart monitoring caught the arrhythmia happening at the same time as the fainting episodes.
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What Listing 4.05 asks for
What SSA looks for — see the 1 items
We will check your records against each of these. Every item comes straight from SSA's own listing.
- This listing has a single combined requirement:
- Your irregular heartbeat is not caused by something fixable like an electrolyte problem or drug toxicity
- Despite treatment, it keeps causing fainting or near-fainting (a period of altered consciousness, not just dizziness) at least three times within a 12-month period
- Heart monitoring (like a Holter monitor or tilt-table test with ECG) recorded the arrhythmia at the same time a fainting or near-fainting episode occurred, proving the arrhythmia caused it.
Read the original wording
This listing has a single combined requirement: (1) your irregular heartbeat is not caused by something fixable like an electrolyte problem or drug toxicity; (2) despite treatment, it keeps causing fainting or near-fainting (a period of altered consciousness, not just dizziness) at least three times within a 12-month period; and (3) heart monitoring (like a Holter monitor or tilt-table test with ECG) recorded the arrhythmia at the same time a fainting or near-fainting episode occurred, proving the arrhythmia caused it.
(Listing 4.05, criterion A)
How long it must last:
'Recurrent' means the episodes occurred at least three times within a consecutive 12-month period with periods of improvement in between, and the impairment must last or be expected to last at least 12 continuous months.