While jogging at Camp David on a Saturday afternoon (May 4, 1991), Bush developed shortness
of breath, chest tightness, and a general feeling of fatigue. A White House physician discovered
Bush had a rapid irregular heartbeat, ultimately diagnosed as atrial fibrillation due to hyperthyroidism
(see below).
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Bush was transferred to Bethesda Naval Hospital by helicopter. His ventricular rate was
150/min
1e.
Cardiologist
Dr. Allen M. Ross
prescribed digitalis, procainamide, and Coumadin
7.
(
Note: Digitalis slows the heart, procainamide can change the rhythm pattern from atrial
fibrillation back to normal, and Coumadin prevents blood clots, one of the main complications
of atrial fibrillation.)
Abrams writes:
According to the doctors' plan, if the drugs failed to affect the
arrhythmia -- as initially they did -- an electrical shock would be administered the following
day, a common way of returning a patient's rhythm to normal. When it was announced that Dan
Quayle would be acting president under the Twenty-fifth Amendment provisions while Bush was
under anesthesia for the cardioversion -- if it was required -- a different kind of shock reverberated
across the nation. The prospect of Quayle as president brought home sharply the electorate's
lack of confidence in his ability to lead.
3b
The drugs were effective. By 10:25 pm on May 5, Bush's heart rhythm was normal. About 5 am
the following morning, however, atrial fibrillation recurred. It was decided (by whom?) to
continue the drugs rather than use electrical cardioversion. Bush returned to the White House
later that day.
3b.