BVA Case 19-7109: Ptsd

He also opined that the appellant's in-service heart murmur was less likely than not related to his current heart disability.

In the October 2019 Board decision on appeal,the Board denied service connection for a heart disability, denied a rating greater than 70%for the appellant's PTSD,and denied entitlement to SMC.

Service Connection for a Heart Disability The Secretary's duty to assist includes,in appropriate cases,the duty to conduct a thorough and contemporaneous medical examination.

[O]nce the Secretary undertakes the effort to provide an examination when developing a service-connection claim,even if not statutorily obligated to do so,he must provide an adequate one.

The Board must provide a written statement of the reasons or bases for its findings and conclusions on all material issues of fact and law presented on the record;the statement must be adequate to enable a claimant to understand the precise basis for the Board's decision,as well as to facilitate review in this Court.

To comply with this requirement,the Board must analyze the credibility and probative value of the evidence,account for the evidence it finds persuasive or unpersuasive, and provide its reasons for rejecting any material evidence favorable to the claimant.

The Court reviews the Board's findings of fact under the clearly erroneous standard of review.

A finding of fact is clearly erroneous when the Court,after reviewing the entire evidence, is left with the definite and firm conviction that a mistake has been committed.