Chronic Venous Insufficiency (CVI), a condition recently diagnosed in President Donald J. Trump, is a prevalent yet often underrecognized and undertreated form of chronic venous disease, particularly among older adults. The American Heart Association emphasizes the strong association between CVI and an increased risk for cardiovascular disease (CVD) and mortality, independent of age, sex, and existing cardiovascular risk factors and comorbidities. Symptoms of CVI include swelling, varicose veins, skin changes, and ulcerations, which can significantly impact an individual’s quality of life.
According to Dr. Joshua A. Beckman, past volunteer chair of the American Heart Association’s Vascular Health Advisory Committee, early detection and treatment of CVI can make a substantial difference. The condition is diagnosed through imaging techniques like duplex ultrasound, magnetic resonance venography (MRV), or computed tomography venography (CVT), looking for backward flow, vein obstructions, or compressive syndromes. Treatment options include compression therapy, medications, and minimally invasive procedures.
The White House has confirmed President Trump’s diagnosis of CVI, noting mild swelling in his lower leg but no evidence of deep vein thrombosis or arterial disease. This diagnosis brings attention to the condition’s impact and the importance of recognizing its symptoms for timely medical intervention. In 2022, CVI was a principal diagnosis in thousands of hospital discharges and was listed among causes of death in the U.S., highlighting its significance as a public health concern.
For more information on Chronic Venous Insufficiency, resources are available through the American Heart Association, a leading nonprofit organization focused on heart and brain health. The association provides critical information and support for individuals affected by cardiovascular diseases, including CVI, advocating for early detection and treatment to improve outcomes.

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