5/28/2020 E-Library - Information At Your Fingertips: Printer Friendly signed by St. Luke’s Cardiac Catheterization Laboratory Interventional Cardiologist Paterno F. Dizon, Jr., respondent was diagnosed with coronary artery atherosclerosis and severe three-vessel coronary artery disease. On February 16, 2006, respondent consulted and was examined by an independent physician, Dr. Efren R. Vicaldo (Dr. Vicaldo), who issued a medical certificate[11] containing the following diagnosis: February 16, 2006 TO WHOM IT MAY CONCERN: This is to certify that, Edgar A. Balasta, 48 years of age, of Imus, Cavite was examined and treated as out[-]patient/confined in this hospital on/from February 16, 2006 with the following findings and/or diagnosis/diagnoses: Hypertensive cardiovascular disease Coronary artery disease, 3[-]vessel involvement Stable angina pectoris Impediment Grade 1 (120%) (signed) EFREN R. VICALDO, M.D. JUSTIFICATION OF IMPEDIMENT GRADE 1 (120%) FOR SEAMAN EDGAR A. BALASTA This patient/seaman presented with a history of chest pain, easy fatigue and shortness of breath noted [in] August 2005 after some strenuous activity while working on board ship. He was seen in consult in Mainland China where he underwent chest Xray and ECG. He was diagnosed as [sic] coronary artery disease. He was repatriated on September 18, 2005 and was admitted for 1 week at Manila Medical Center. He underwent laboratory exams which included Chest Xray, ECG, 2D echo and 24 hour Holter monitoring. He consequently underwent coronary angiography at St. Luke’s Medical Center on October 14, 2005 which revealed severe 3 vessel disease involving the proximal LAD, first diagonal and proximal and distal LCx. When seen at the clinic, his blood pressure was elevated at 140/90 mmHg; the rest of the PE findings were unremarkable. He is now unfit to resume work as seaman in any capacity. His illness is considered work aggravated/related. He requires maintenance medication to maintain normal blood pressure and low cholesterol to prevent worsening of his coronary elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/56669 3/14