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Cardiovascular and Social Security Disability

Heart and circulatory conditions that can limit stamina, exertion, and the ability to sustain a workday.

Cardiovascular disease can limit stamina, standing, walking, lifting, and tolerance for exertion. Adult Listing 4.00 includes criteria for chronic heart failure, ischemic heart disease, recurrent arrhythmias, certain congenital heart disease, aortic aneurysm, chronic venous insufficiency, peripheral arterial disease, and other cardiovascular impairments. The medical findings required depend on the specific listing and may include objective testing, treatment history, symptoms, and defined functional criteria.

If a cardiovascular impairment does not meet or medically equal a listing, SSA assesses residual functional capacity based on supported limitations such as fatigue, angina, shortness of breath, edema or leg-elevation needs, hazard restrictions, medication effects, and recovery from procedures.

See the cardiovascular condition pages below, or return to the Disability Conditions Center.

Official SSA resource: Listing 4.00 — Cardiovascular System

Cardiovascular condition guides

  • Congestive Heart Failure

    Chronic heart failure can reduce exertional capacity and cause fluid buildup. Listing 4.02 requires the specific medical and functional findings in the current cardiovascular rules.

  • Coronary Artery Disease

    Narrowing or blockage of coronary arteries may cause myocardial ischemia. Listing 4.04 applies only when its prescribed-treatment and severity criteria are documented.

  • Aneurysm

    Listing 4.10 covers aneurysm of the aorta or major branches with dissection not controlled by prescribed treatment. A brain aneurysm is not 4.10; SSA evaluates neurologic complications under 11.00. An imaging report is not an approval.

  • Deep Vein Thrombosis

    There is no adult listing titled deep vein thrombosis or pulmonary embolism. Chronic post-thrombotic venous disease may be evaluated under Listing 4.11, while lasting pulmonary-embolism complications may be considered under applicable respiratory or cardiovascular rules. If no listing is met, SSA considers the remaining functional limitations.

  • Adrenal Disorders

    There is no adult listing titled Addison’s disease or Cushing’s syndrome. Listing 9.00 and SSR 14-3p evaluate adrenal disorders by their effects on bone, heart, weight, and mood—not by a cortisol value alone.

  • Chronic Kidney Disease

    Current Listing 6.00 includes separate pathways for ongoing dialysis, kidney transplant, impaired kidney function with complications, and repeated CKD hospitalizations.

  • Chronic Obstructive Pulmonary Disease

    COPD causes persistent airflow obstruction. Listing 3.02 uses standardized respiratory testing; claims below listing level may still turn on exertion, exposure, and exacerbations.

  • Diabetes

    Diabetes has no standalone adult listing. SSA evaluates its documented effects on other body systems and the combined functional limits those complications cause.

  • Down Syndrome

    Listing 10.06 applies to non-mosaic Down syndrome documented through the listing's karyotype or alternate physician-report pathways. Mosaic Down syndrome and other congenital disorders affecting multiple body systems are evaluated under the listings for the body systems affected and through the remaining disability evaluation when necessary.

  • Ehlers-Danlos Syndrome

    Ehlers-Danlos syndrome has no dedicated adult SSA listing. SSA evaluates documented joint instability, vascular complications, skin findings, autonomic effects, and other manifestations under the affected body systems and through residual functional capacity when no listing is met.

  • Long COVID

    Long COVID has no dedicated listing. SSA may establish COVID-19, including its long-term effects, as a medically determinable impairment when supported by objective medical evidence. SSA then considers medical equivalence, any new or worsened impairments caused by COVID-19, and residual functional capacity. SSA's disability duration requirement is generally 12 months.

  • Postural Orthostatic Tachycardia Syndrome

    POTS is an orthostatic-intolerance syndrome without a dedicated SSA listing. Evaluation centers on objective diagnosis and supported limits from tachycardia, dizziness, syncope, fatigue, and cognitive symptoms.

  • Sickle Cell Disease

    SSA evaluates sickle cell disease under Listing 7.05. Specified crises, hospitalizations, hemoglobin findings, or transfusion-related criteria may satisfy the listing. If the listing is not met, SSA considers documented complications and remaining functional limitations.

  • Sleep Apnea

    Sleep apnea has no dedicated adult listing. SSA evaluates the medically documented sleep disorder and daytime limits—and any listing-level heart, lung, or neurologic complications—rather than an AHI number alone.

  • Stroke

    SSA evaluates stroke as vascular insult to the brain under Listing 11.04. The listing uses three-month persistence criteria for its communication, motor, and combined physical-and-mental pathways, while SSA's neurological guidance allows an earlier decision in some cases when the available evidence is sufficient.

  • Thyroid Disorders

    There is no adult listing titled thyroid disease. Listing 9.00 evaluates thyroid disorders by their effects on other body systems—heart rhythm, weight, stroke, vision, or mood—not by a TSH value alone.

Speak with a Social Security Disability attorney

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This page is general educational information about Social Security Disability as of the date of this publication. It is not legal or medical advice, does not create an attorney-client relationship, and does not guarantee results. Eligibility depends on individual facts and current Social Security rules.