Thomas Sharkey (Claimant) petitions for review of an order of the Workers’ Compensation Appeal Board (Board) which affirmed the decision of a Workers’ Compensation Judge (WCJ) granting in part and denying in part Claimant’s Claim Petition. We affirm.
Claimant worked as a package courier with Federal Express (Employer). On January 3, 1997, while in the process of unloading Employer’s truck, Claimant suffered tightness in his chest, shortness of breath and sweating. Claimant drove himself to the emergency room and was admitted to a hospital for three days. He did not return to his pre-injury duties thereafter. Three months later, Claimant filed a Claim Petition alleging he suffered a myocardial infarction as a result of excessive work effort and stress during the course of his employment.
In support of his claim, Claimant offered the testimony of Thomas Santilli, M.D. Dr. Santilli testified, based on medical records, that Claimant’s previous symptoms were suggestive of angina. Claimant’s prior treatment included a myocardial catheteri-zation and angioplasty, which appeared to resolve his symptoms. Claimant also had documented coronary disease since October 1995. Claimant had been a patient of Dr. Santilli since May 1996 during which Dr. Santilli’s primary treatment mode has been preventative measures including medications, monitoring and exercise. In August 1996, Claimant was hospitalized following an argument with his boss. Dr. Santilli opined that this incident was prob
On January 3, 1997, Claimant developed tightness of chest, shortness of breath and diaphoresis while engaging in heavy activity at work. Claimant was hospitalized and a myocardial scan suggested that he had a mild heart defect. Dr. Santilli testified that the high exertion levels at work precipitated Claimant’s symptoms. At the time of his discharge from the hospital, Claimant was advised that he should not go back to work. Dr. Santilli examined Claimant again on January 22, 1997. Dr. Santilli stated that Claimant was asymptomatic if he did not exert himself at very high levels of work. Claimant was advised that he should seek another job because he could not return to the same job with the same exertional requirements. On February 27, 1997, Claimant was re-examined, found to be asymptomatic and advised not to return to work. Another examination on July 1, 1997 also found Claimant to be asymptomatic.
Dr. Santilli testified that Claimant’s condition on January 3, 1997 was different from his previous hospitalization. This event caused a subendocardial infarction, an extremely small area of muscle damage in the heart. The exertion levels at work directly precipitated this condition. Moreover, there is a likelihood that such a high level of exertion would trigger another ear-diac event with the possibility of damage to a larger area of the heart or even death.
The damaged heart muscle, however, is not the source of Claimant’s physical limitations. According to Dr. Santilli, Claimant lacks the “cardiac reserve” to perform at a high exertional level:
His heart function, the contraction is good, it’s the fact that he has mild to moderate blockage in the arteries, it’s a supply and demand. If you have a certain amount of blockage to the artery, you could perform a certain level of activity because your heart could get flow. The strength of the contraction is excellent, the heart can beat as strong as possible. When it [the heart] was called upon to perform a task above and beyond normal, it [the heart] can’t, there’s only a certain amount of blood flow it [the heart] could get, then all of a sudden the demand outstrips the supply, it [the heart] can’t get it [blood].
Testimony of Dr. Santilli; R.R. at 375a. Prior to Claimant’s January 1997 hospitalization, his pre-existing coronary disease did not restrict his activities. Dr. Santilli stated, that “for whatever reason”, something occurred between August 1996 and January 1997 to reduce the amount of his cardiac reserve.
The testimony of Dr. Santilli was deemed to be competent, unequivocal and persuasive. The WCJ found the testimony of Robert Kleiman, M.D., Employer’s medical expert, to be competent, unequivocal and persuasive only to the extent it concurs with Dr. Santilli’s testimony.
On appeal, Claimant raises two issues. The first issue is whether there is substantial evidence to support the WCJ’s finding that Claimant’s physical limitations were not related to the heart muscle damage. Claimant contends that his work activities in January 1997 resulted in a worsening of his condition and it is Claimant’s worsened condition, which prevents his from return to his pre-injury job. Substantial evidence is such relevant evidence as a reasonable person might accept as adequate to support a conclusion. Hoffmaster v. Workers’ Compensation Appeal Board (Senco Products, Inc.),
In a claim petition proceeding, the claimant bears the burden of proving that he suffers from a work-related injury that occurred in the course and scope of his employment and that the injury results in a loss of earning power. Inglis House v. Workmen’s Compensation Appeal Board (Reedy)
The second issue is whether the WCJ erred as a matter of law by not considering the risk of further injury if Claimant returned to his pre-injury job. Pursuant to Section 301(c)(1) of the Work
The Pennsylvania Supreme Court has stated that “[ojur law of Workers’ Compensation does not require an employee to bear the risk of probable severe and totally disabling reinjury by return to heavy work on pain of foregoing all compensation.” Farquhar,
This Court has recently reaffirmed our holding in Giant Eagle. See Locher v. Workers’ Compensation Appeal Board (City of Johnstown),
Therefore, the WCJ did not err as a matter of law by not considering the risk of further injury because Claimant failed to demonstrate that his work-related injury materially contributed to his blocked arteries. The order of the Board is affirmed.
ORDER
AND NOW, this 15th day of November, 2001 the order of the Workers’ Compensation Appeal Board dated January 4, 2001
Notes
. Given this credibility determination and the issues raised in this appeal, Dr. Kleiman’s testimony is not addressed.
. Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§ 1-1041.4; 2501-2606.
. The Court in Baxter also stated that:
It undermines the principles of the Act to impose liability on an employer for the existence of a condition present from childhood when no residual work-related injury is demonstrated. Baxter was properly paid worker’s compensation benefits for the period of time he was disabled by conditions at his workplace, as those conditions exacerbated his pre-existing condition, but once he had fully recovered from that disability, he was ineligible for benefits.
Baxter,
