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A Journal on Forensic Medicine
Minerva Medicolegale 2003 September;123(3):123-42
Ventricular pre-excitation: electrophysiology, clinical aspects and disability evaluation in public obligatory and private insurance
Molisso C., Molisso V., Massimelli M., Iorio M.
The authors present a broad review of the pathophysiology and clinical aspects of ventricular pre-excitation, illustrate various guidelines for disability evaluation of the condition for the purposes of public obligatory insurance (social security, workers' compensation, civil disability, group heath/pension insurance) and private health insurance (disability, medical expense reimbursement, life/annuity), and describe the criteria proposed for third party liability. Evidence suggests that ventricular pre-excitation is grossly overestimated, with discrepancies that range from high disability/impairment ratings to unjustified exclusion from insurance coverage. The clinical procedures and criteria necessary to formulate disability/impairment evaluation guidelines are outlined. The proposals are divided by area of application, procedure and quantification.