Shiek v. North Dakota Workers Compensation Bureau

Section 65-01-02(11)(a)(3), N.D.C.C., requires claimants to prove a compensable heart-related injury by showing with reasonable medical certainty their employment caused the injury and unusual stress was at least 50% of the cause of the injury. Objective medical evidence may not be established solely by deductive reasoning.

Claimants must prove by a preponderance of evidence that they have sustained a compensable injury and are entitled to workers' compensation benefits. A claimant must prove that the condition for which benefits are sought is "causally related" to a work injury. To establish a "causal connection," a claimant must demonstrate the claimant's employment was a substantial contributing factor to the injury and need not show employment was the sole cause of the injury. A compensable injury must be established by medical evidence supported by objective medical findings, which may include a physician's medical opinion based on an examination, a patient's medical history, and the physician's education and experience.