A Florida court has ruled in favor of firefighter Chelsea Illeck, affirming her right to workers' compensation benefits due to heart disease. This decision, made by the District Court of Appeal of Florida in case number 1D2025-3075, is significant for firefighters who develop heart conditions while on the job. The ruling clarifies the application of the heart-lung statute, which provides a presumption of compensability for certain heart diseases.
The case began when Illeck, who joined the fire department in 2014, developed serious heart conditions known as supraventricular tachycardia (SVT) and atrial tachycardia (AT). These conditions arose after she experienced chest pain and shortness of breath while transporting a patient in 2023. Following a series of medical evaluations and treatments, including two heart ablation procedures, she filed for workers' compensation benefits in April 2025, citing the heart-lung statute.
The Village Center Community Development District and its insurance carrier contested her claim, arguing that her conditions did not qualify as heart disease under the definitions established in previous court rulings. They specifically pointed to a prior case, North Collier Fire Control & Rescue District v. Harlem, which they claimed set a precedent that excluded arrhythmia-related conditions like Illeck's from the definition of heart disease.
In the appeal, the court examined the definitions of heart disease as outlined in the heart-lung statute and previous case law. The ruling emphasized that both parties' medical experts agreed that Illeck's conditions constituted heart disease, despite the conflicting interpretations of what that term encompasses. The court noted, "Because the only competent medical evidence is that Claimant’s arrythmia-related condition constitutes 'heart disease,' we find no basis to reverse the final compensation order." Chief Judge Osterhaus delivered the opinion, with Judges Rowe and Winokur concurring.
This ruling is important for several reasons. First, it reinforces the protections offered to firefighters under Florida's heart-lung statute, which has been in place since 1965. The statute aims to provide a safety net for first responders who develop heart conditions due to the physical demands of their jobs. By affirming Illeck's claim, the court has set a precedent that could influence future cases involving similar heart conditions.
Moreover, the decision clarifies the distinction between different types of heart diseases, particularly between electrical and plumbing-related issues of the heart. The court highlighted that the Harlem case focused on plumbing-related heart conditions, which involve arteries and valves, while Illeck's case involved an electrical malfunction of the heart. This distinction is crucial for understanding how future claims may be evaluated under the heart-lung statute.
Going forward, this ruling may encourage other firefighters with heart conditions to file for benefits under the heart-lung statute, knowing that the court recognizes a broader definition of heart disease. It could also lead to more comprehensive medical evaluations in workers' compensation cases involving heart conditions, as medical experts will need to clearly differentiate between various types of heart diseases.
As for the potential for appeal, the court's decision is not final until the disposition of any timely and authorized motion under Florida Rule of Appellate Procedure 9.330 or 9.331. However, details regarding any further appeal or related cases were not available in the court filing.











