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We accept cardiac exams done on anesthetized and non-anesthetized apes so long as both a submission form and a copy of the echocardiogram are submitted. An echocardiogram (echo) is a test that diagnoses and manages heart disease.The test can: Assess heart health before or after diagnosis and treatment. Identify the cause of certain symptoms. 4.1 Essentials of evaluative rating. This chapter describes the evaluation and management of ischemic heart disease, which has evolved significantly over the past decade. Patients. Tailored Lifestyle Management to Improve Health. We accept cardiac exams done on anesthetized and non-anesthetized apes so long as both a submission form and a copy of the echocardiogram are submitted. (for blindness) fill out the "permanent disability" Medical Certification section in Part 2 of the application form and return the form to.