Opinion
Argued December 5, 1979
February 6, 1980.
Workmen's compensation — Causation — Heart attack — Unequivocal medical evidence — Death certificate.
1. In a workmen's compensation case where the relationship between a fatal heart attack and the decedent's employment is not obvious, such relationship must be established by unequivocal medical evidence. [239]
2. Evidence from a competent medical witness that the death of an employe was the result of a heart attack caused by an unusual strain sustained in performing a duty of employment adequately supports a finding of a causal relationship between the fatal heart attack and the employment, and the award of workmen's compensation benefits, and it is not error to receive in evidence in support of such testimony the death certificate issued in such case. [239]
Argued December 5, 1979, before Judges CRUMLISH, JR., ROGERS and MacPHAIL, sitting as a panel of three.
Appeal, No. 720 C.D. 1979, from the Order of the Workmen's Compensation Appeal Board in case of Elizabeth Legan, widow of Michael Legan v. The D. L. Clark Company, No. A-75549.
Petition with the Department of Labor and Industry for workmen's compensation death benefits. Benefits awarded. Employer appealed to the Workmen's Compensation Appeal Board. Award affirmed. Employer appealed to the Commonwealth Court of Pennsylvania. Held: Affirmed.
Paul K. Geea, with him Robert C. Jones, Jones, Gregg, Creehan and Gerace, for petitioner.
Paul J. Leventon, of Leventon Leventon, P.C., for respondents.
The D. L. Clark Company (Employer) appeals an order of the Workmen's Compensation Appeal Board affirming a referee's award of benefits to the widow of Michael Legan based on a conclusion that Legan's death was due to unusual strain and overexertion in the course of his employment. We affirm.
Employer raises two issues which we will address seriatim:
1. Whether the referee erred in accepting a death certificate as proof of cause of death in the absence of other competent evidence.
2. Whether the referee erred in finding that claimant had established a causal connection between death and work by unequivocal medical evidence.
An examination of the second issue will dispose of employer's first contention. It is well settled that causality must be established by unequivocal medical testimony where it is not obvious. Hudack v. Workmen's Compensation Appeal Board, 32 Pa. Commw. 508, 379 A.2d 1074 (1977). In this case, the referee found the decedent was in the course of his employment when he died as a result of the unusual strain resulting from his efforts to repair a boiler. Claimant's physician provided adequate support for this finding by testifying as follows:
Q Doctor, do you have a medical opinion as to the assumed statements of facts which I have given to you as to the certainty of what caused this man's death?
A I would have to strongly support that he died of a heart attack.
Q Now, with your opinion then, would you say that the unusual strain brought about by his repairing of these boilers alone without any assistance from anybody, although requested, would be the cause of this man's death?
A My answer to that would have to be yes.
This testimony was competent evidence as to the cause of death and the referee did not err by admitting the death certificate.
Accordingly, we
ORDER
AND NOW, this 6th day of February, 1980, the order of the Workmen's Compensation Appeal Board dated March 29, 1979, is affirmed. The D. L. Clark Company, self-insured employer, shall pay to Elizabeth Legan, widow of Michael Legan, compensation at the rate of $95.68 per week for the period beginning October 11, 1973 and continuing thereafter in accordance with the provisions of The Pennsylvania Workmen's Compensation Act.
An interest of ten (10%) percent per annum is assessed on all deferred payments.
The said defendant is further directed to pay the claimant-widow the sum of $750.00 for burial expenses incurred and paid by her.
Judge DiSALLE did not participate in the decision in this case.