President Donald Trump has been diagnosed with chronic venous insufficiency (CVI), according to a White House medical statement made Thursday. The condition, common among adults over 70, stems from vein valves failing to efficiently return blood to the heart.
What Triggers the Diagnosis
In early July, Trump reportedly noticed “mild swelling” in his lower legs. A follow‑up appointment by his physician, Captain Sean P. Barbabella of the White House Medical Unit, prompted a series of vascular exams. These included bilateral Doppler ultrasounds and an echocardiogram.
Barbabella’s memo stated: “there was no evidence of deep‑vein thrombosis or arterial disease, and all lab results were within normal limits.” It also confirmed normal cardiac structure and function.
In a press briefing, Karoline Leavitt, the White House press secretary, described the condition as “benign and common, particularly in individuals over the age of 70.” She emphasized there was no discomfort reported by Trump.
Understanding Chronic Venous Insufficiency
CVI occurs when weakened or damaged vein valves allow blood to pool in the legs rather than return to the heart efficiently. Dr. Mimmie Kwong, assistant professor of vascular surgery at UC Davis, explains: “This makes it harder for blood to travel back to your heart… instead the blood collects in your leg veins.”
Dr. Lee Kirksey, vice chair of vascular surgery at the Cleveland Clinic, noted that while the condition is not life‑threatening, it “may cause disability, difficulty walking,” and sometimes swelling or ulcers. Symptoms can include visible swelling, skin discoloration, and leg heaviness.
Treatment and Outlook
Public health experts highlight conservative management as the first line of defense. Recommendations include:
- Wearing compression stockings
- Leg elevation throughout the day
- Regular moderate exercise
- Maintaining healthy weight and diet
If needed, outpatient procedures like venous ablations can address more advanced superficial vein issues. Deep‑valve damage, however, remains less amenable to surgery.
Context and Expert Views
CVI affects roughly one‑third of U.S. adults at some point in their lives, growing more prevalent with age. The American Heart Association has warned that, although usually mild, untreated CVI can lead to complications such as ulcers or infection.
Dr. Joshua Beckman of UT Southwestern Health said, “early detection and treatment can make a substantial difference” in quality of life.
Political Implications
This disclosure is notable given scrutiny over Trump’s health and recent visuals of his swollen ankles at the FIFA Club World Cup in New Jersey. The announcement also appears as a nod to greater medical transparency—a contrast to past opt-outs on more invasive exams .
Leavitt reassured that the bruising seen on Trump’s hands stemmed merely from frequent handshakes and his aspirin regimen, dismissing speculation of deeper illness.