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146
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also be telangectasia
|
(dilated capillaries) and
|
Raynaud’s Phenomenon
|
causing artery spasms in
|
the extremities.
|
Advanced Stage1
|
The diagnosis must be
|
confirmed by a consultant
|
neurologist or specialist in
|
the relevant medical field.
|
Primary Pulmonary
|
Hypertension
|
Primary Pulmonary
|
Hypertension with
|
substantial right ventricular
|
enlargement confirmed by
|
investigations including
|
cardiac catheterisation,
|
resulting in permanent
|
physical impairment of at
|
least Class IV of the New
|
York Heart Association
|
(NYHA) Classification of
|
Cardiac Impairment.
|
The NYHA Classification
|
of Cardiac Impairment:
|
Class I: No limitation of
|
physical activity. Ordinary
|
physical activity does not
|
cause undue fatigue,
|
dyspnea, or anginal pain.
|
Class II: Slight limitation of
|
physical activity. Ordinary
|
physical activity results in
|
symptoms.
|
Class III: Marked limitation
|
of physical activity.
|
Comfortable at rest, but
|
less than ordinary activity
|
causes symptoms.
|
Class IV: Unable to
|
engage in any physical
|
activity without discomfort.
|
Symptoms may be present
|
even at rest.
|
Progressive
|
Scleroderma
|
A systemic collagenvascular disease causing
|
progressive diffuse fibrosis
|
in the skin, blood vessels
|
and visceral organs. This
|
diagnosis must be
|
unequivocally confirmed
|
by a consultant
|
rheumatologist and
|
supported by biopsy or
|
equivalent confirmatory
|
test and serological
|
evidence and the disorder
|
must have reached
|
systemic proportions to
|
involve the heart, lungs or
|
kidneys.
|
The following are
|
excluded:
|
• Localised scleroderma
|
(linear scleroderma or
|
morphea);
|
• Eosinophilic fascitis; and
|
• CREST syndrome.
|
Manulife CI FlexiCare (Deluxe) v0123
|
Page 29 of 42
|
Manulife (Singapore) Pte. Ltd.
|
A Manulife Company
|
Conditions
|
Early Stage
|
32. Stroke with
|
Permanent
|
Neurological
|
Deficit
|
Brain Aneurysm Surgery
|
The actual undergoing of
|
surgical repair of an
|
intracranial aneurysm or
|
surgical removal of an
|
arterio-venous
|
malformation via
|
craniotomy or
|
endovascular procedures.
|
The surgical intervention
|
must be certified to be
|
absolutely necessary by a
|
specialist in the relevant
|
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