Based on a comprehensive review of the substantial and competent evidence, including Claimant's testimony, the expert medical opinions and depositions, the medical treatment records, and the testimony of the other witness, as well as my personal observations of Claimant and the other witness at hearing, I find:
1) Claimant is a 61-year-old individual who was last employed as a District Sales Manager for Employer. He worked for Employer from January 14, 1985 until September 28, 2000, the day of his heart attack. His job there involved a great deal of travel, since he was responsible for maintaining customer relationships and supervising other sales reps in the field in Indiana, Ohio, Missouri, Texas and Kansas. Claimant took multi-day trips at least one week out of every month. He also supervised five technicians doing development. Claimant described his job as a position of responsibility and he said there was pressure on him to maintain the accounts. He testified that he worked 110-115 hours per week. (In other records submitted at hearing, Claimant apparently reported working approximately 60 hours per week.)
2) Claimant denied any prior treatment for, or diagnosis of, heart disease. He did admit, however, going to the doctor about a year before the heart attack with similar complaints. He was having pains down the arms and into the shoulders. Claimant said the doctor told him to buy Maalox for acid reflux. Claimant said that over the course of that year, he had occasional acid reflux treatment. Claimant admitted on cross-examination that he did have chest pain for about 2 years prior to the heart attack on September 28, 2000. He said the chest pain would radiate to his arms. One month prior to the heart attack this pain was not relieved by the Maalox. Then two weeks prior to the heart attack, he was getting shortness of breath.
3) The medical records from Family Medicine West-Mercy Medical Group (Exhibit 5) show treatment Claimant had for accidents and complaints to various parts of his body prior to the heart attack. The records also contain a report of heartburn symptoms over the last several months on February 16, 1999 and a finding of elevated blood pressure on November 15, 1995.
4) Claimant testified that his last business trip for Employer lasted 2 or 3 days and involved stops in multiple locations, including Dallas, Texas, Meridian, Mississippi, and Atlanta, Georgia. He flew into each of these locations and rented cars there to get to the customers he had to meet. He was carrying a soft briefcase with a laptop in it that weighed about 45 pounds and a hanging bag with his clothes. All total he estimated the bags weighed 60 pounds. He testified that during this trip he experienced crushing pains in his chest and a little nausea. He got some Maalox that helped temporarily. He also described chest pain with exertion such as walking to and from the rental car and the gate at the terminal. Claimant said that his schedule included 4 calls in Texas, and one major client in Meridian.
5) When he was asked whether there was anything extraordinary or unusually stressful about this trip as compared to his other business trips, Claimant responded his friend had been fired and he was taking over these new markets from his friend. He was meeting new clients and making calls on these clients with whom he had not done business in the past.
6) On his flight back to St. Louis on September 28, 2000, Claimant said he felt very ill. He described pain in his chest and a burning sensation in his heart. He said he vomited in the airport and at home. Despite the complaints he said he was having, he drove by St. John's Hospital on his way home from the airport, but did not stop there. He said that he did stop at a drug store to get more Maalox. He said he took a shower which relaxed him considerably and then laid down and tried to go to sleep. He said he slept for about an hour but then was unable to sleep through the night. At about 9:00 p.m., Claimant told his wife to call 911 because the pain had become very severe and he also had pain shooting down his arms and legs.
7) Claimant's wife, Roxanne Olden, also testified at the hearing that her husband worked a lot, and traveled at least one week out of every mo