5/19/2021 E-Library - Information At Your Fingertips: Printer Friendly c. If a person who was apparently asymptomatic before being subjected to strain at work showed signs and symptoms of cardiac injury during the performance of his work and such symptoms and signs persisted, it is reasonable to claim a causal relationship d. if a person is a known hypertensive or diabetic, he should show compliance with prescribed maintenance medications and doctorrecommended lifestyle changes. The employer shall provide a workplace conducive for such compliance in accordance with Section 1(A) paragraph 5 e. in a patient not known to have hypertension or diabetes, as indicated on his last PEME 12. Cerebro-vascular events All of the following conditions must be met: a. If the heart disease was known to have been present during employment, there must be proof that an acute exacerbation was clearly precipitated by an unusual strain by reasons of the nature of his work b. the strain of work that brings about an acute attack must be sufficient severity and must be followed within 24 hours by the clinical signs of a cardiac insult to constitute a causal relationship c. If a person who was apparently asymptomatic before being subjected to strain at work showed signs and symptoms of cardiac injury during the performance of his work and such symptoms and signs persisted, it is reasonable to claim a causal relationship d. if a person is a known hypertensive or diabetic, he should show compliance with prescribed maintenance medications and doctor-recommended lifestyle changes. The employer shall provide a workplace conducive for such compliance in accordance with Section 1(A) paragraph 5 e. in a patient not known to have hypertension or diabetes, as indicated on his last PEME (Emphasis and underscoring supplied) Salenga's cardiovascular disease cannot be considered as a cardiovascular or cerebrovascular event under Section 32-A because his cardiovascular disease did not manifest itself while he was performing his work. There was no proof that Salenga was suffering from heart disease during his employment and that a cardiovascular or cerebrovascular event had occurred that was precipitated by reasons of the nature of his work. As to Salenga's diabetes, it is not listed in Section 32-A. Since his cardiovascular disease and his Type II Diabetes Mellitus both manifested https://elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/66256 14/17