The assessment of disability and occupational incapacity is a critical process in many legal and social security systems worldwide. In Colombia, this process is meticulously defined by the Manual Único para la Calificación de la Invalidez (Single Manual for Disability Qualification), specifically Decree 917 of 1999. This decree provides a structured framework for evaluating the permanent impairment of individuals across various organ systems, ensuring a standardized and equitable approach. This article delves into the specific criteria outlined in Chapter VII of the decree, focusing on the cardiovascular system, with a particular emphasis on ischemic myocardial disease. Understanding these guidelines is fundamental for medical professionals, legal practitioners, and individuals seeking to qualify for disability benefits, as it clarifies the intricate balance between clinical findings, functional limitations, and legal requirements. Table of Contents Introduction to Cardiovas...