George W. Bush’s Close Call

His recent heart problems were far more dangerous than generally believed — potentially life-threatening, in fact.

Former President George W. Bush gives the coin toss before kickoff between the Texas Tech Red Raiders and the SMU Mustangs on August 30, 2013 at Gerald J. Ford Stadium in Dallas, Texas.
National Journal
Tom DeFrank
Oct. 11, 2013, 11:31 a.m.

George W. Bush’s re­cent heart prob­lems were far more dan­ger­ous than gen­er­ally be­lieved — po­ten­tially life-threat­en­ing, in fact.

Sources fa­mil­i­ar with the former pres­id­ent’s med­ic­al situ­ation told Na­tion­al Journ­al that a ma­jor block­age in a coron­ary artery dis­covered dur­ing Bush’s an­nu­al phys­ic­al ex­am in Au­gust had al­most com­pletely shut off blood flow to one of his heart cham­bers.

“He was more than 95% oc­cluded,” an au­thor­it­at­ive source said. “With a block­age like that in a main artery you’re sup­posed to die. He was pretty lucky they caught it.”

Dr. Jonath­an Rein­er, an in­ter­ven­tion­al car­di­olo­gist at George Wash­ing­ton Uni­versity who has treated former Vice Pres­id­ent Dick Cheney but was not in­volved in Bush’s care, noted that a block­age of that mag­nitude wouldn’t ne­ces­sar­ily be fatal in all pa­tients but is a very ser­i­ous situ­ation re­quir­ing prompt treat­ment.

“Every case is dif­fer­ent,” Rein­ert said. “It de­pends on sev­er­al factors, in­clud­ing how quickly a block­age has de­veloped. But it’s a very im­port­ant ves­sel. If you oc­clude that par­tic­u­lar artery it can kill you.”

A prom­in­ent in­tern­ist who asked not to be iden­ti­fied ad­ded that Bush’s block­age, if un­dia­gnosed, would al­most cer­tainly have risked “a grave car­di­ac event.”

Even with a 95 per­cent block­age, Rein­er said, blood will still be flow­ing through the im­paired artery, but the heart muscle must work harder, par­tic­u­larly dur­ing vig­or­ous activ­ity. The ad­ded strain when blood flow is di­min­ished can lead to ser­i­ous car­di­ac com­plic­a­tions, in­clud­ing a heart at­tack.

The 43rd pres­id­ent has ex­er­cised reg­u­larly for years and is gen­er­ally be­lieved to be in ex­cel­lent health. Nev­er­the­less, a stress test that’s stand­ard with all phys­ic­als at the renowned Cooper Clin­ic in Dal­las turned up wor­ri­some changes to Bush’s elec­tro­car­di­o­gram read­ings. His phys­i­cians quickly ordered up a CT an­giogram that re­vealed the mag­nitude of the block­age and promp­ted them to re­com­mend in­sert­ing a stent to open the artery. That pro­ced­ure was done the next morn­ing at Texas Health Pres­by­teri­an Hos­pit­al without com­plic­a­tion. Bush spent the night at the hos­pit­al for ob­ser­va­tion and is re­por­ted to be re­cov­er­ing nor­mally.

At the time some phys­i­cians wondered wheth­er the stent was med­ic­al overkill, giv­en that Bush has no known fam­ily his­tory of heart dis­ease and is in good shape. Mul­tiple sources know­ledge­able about Bush’s con­di­tion, however, said there’s no ques­tion the treat­ment was med­ic­ally ne­ces­sary.

A spokes­man for the Cooper Clin­ic de­clined to dis­cuss any as­pects of Bush’s care, cit­ing pa­tient pri­vacy. Bush spokes­man Freddy Ford also de­clined com­ment.

By all ap­pear­ances, the ex-pres­id­ent has bounced back smartly from his health scare. He’s been cleared to travel, at­tend­ing the Pres­id­ent’s Cup golf matches in Ohio last week­end. He’s also re­turned to play­ing golf and rid­ing moun­tain bikes, but doc­tors have put lim­its on his nor­mally-man­ic speeds and the dur­a­tion of his workouts.

“He’s back on the bike — easy, not hard,” a friend said. “But he’s feel­ing ter­rif­ic and do­ing fine.”

What We're Following See More »
FOLLOWED CLOSED DOOR MEETING
Peña Nieto, Trump Trade Subtle Jabs in Statements
9 hours ago
THE DETAILS

Following their meeting, President Enrique Peña Nieto of Mexico and Republican nominee for president, Donald Trump, briefly addressed the media, with Peña Nieto subtly rebuking Trump's rhetoric. While he spoke respectfully about Trump, Peña Nieto did not back down, saying that free trade has proved effective and that illegal immigration into America from the south has decreased over the last ten years while the flow of people and drugs into Mexico has increased. Additionally, he stressed that Mexicans in America are "honest" and "deserve respect." Trump responded, calling some Mexicans "tremendous people" while saying others are "beyond reproach." Trump laid out five important issues, including the end of illegal immigration and the ability for either country to build a wall or border. However, Trump said he did not discuss who would pay for the wall.

LOWER COURT RULING STANDS
SCOTUS Won’t Restore NC Voter ID Law
9 hours ago
THE LATEST

A divided Supreme Court "refused Wednesday to reinstate North Carolina’s voter identification requirement and keep just 10 days of early in-person voting. The court rejected a request by Gov. Pat McCrory and other state officials to delay a lower court ruling that found the state law was tainted by racial discrimination."

Source:
SMOKIN’ AND SHOOTIN’
Court: 2nd Amendment Doesn’t Protect Pot Users’ Gun Rights
10 hours ago
THE DETAILS
THE QUESTION
How Many Offices Does Trump Have in Battleground States?
15 hours ago
THE ANSWER

Eighty-eight, according to PBS. Hillary Clinton, meanwhile, has 291 offices in those same 15 states.

Source:
BUT HE’S NOT ADVOCATING FOR IT
Grassley Open to Lame Duck Hearings on Garland
1 days ago
THE LATEST

Senate Judiciary Committee Chairman Chuck Grassley (R-IA) said Monday he'd now be willing to hold a hearing on Supreme Court nominee Merrick Garland in a lame-duck session of Congress. While he said he wouldn't push for it, he said if "Hillary Clinton wins the White House, and a majority of senators convinced him to do so," he would soften his previous opposition.

Source:
×