Donald Trump's medical reports suggest he has a serious cardiac condition.
Except where noted, everything here builds on public information from the president's physician.
Our patient today is an eighty-year-old overweight sedentary office worker. We're going to fill in this simple chart, and see what it tells us.
To start, here are President Trump's blood pressures over the past eight years.
That last one, in yellow, drops significantly from previously stable values. That means something in the president changed.
You might think this pressure is unimportant, because it is a wonderful blood pressure, like a marathon runner's. But our president is not a marathon runner.
He is an overweight, sedentary, eighty year old office worker with a liking for salty fast food.
No matter their genetics, someone like that does not have low blood pressures without medication, which Trump is supposedly not taking.
So what change in him caused the pressure drop?
Weight loss can lower blood pressure. But Trump did not lose weight. So the explanation lies elsewhere.
Since the heart and arteries govern blood pressure, let's look closer at the heart.
Here are the president's pulse rates. In 2026, his pulse jumped as his blood pressure dropped.
Although pulse rates can be misleading, this jump adds to cardiac suspicions.
On the graph, the systolic blood pressure and pulse rate form a closing jaw pattern in 2026.
Doctors don't like to see that in an eighty year old. It suggests a strained heart.
Ankle swelling can also reflect heart function. Starting in late 2024 or early 25, Trump's ankles became markedly swollen, and remain so.
Here he is in October 2026. That ankle, and leg, are holding pounds of fluid.
The president's doctors diagnosed the ankle swelling as chronic venous insufficiency. Meaning the veins in his legs are bad,
perhaps like varicose veins. That may be true. But is this the full story? Several observations suggest it is not.
First, his ankles swelled rather quickly. Chronic venous insufficiency is a slow moving condition, typically taking multiple years to get to a size like Trump's.
Second, Trump has swelling in his face, seen in photographs since 2024 and by journalists in real life. Bad leg-veins cannot cause this.
Third, bad leg-veins are treatable. Trump avoids compression stockings, but medication and surgery are options.
Because severe swelling like Trump's can cause aching and heaviness and tiredness and skin changes in the legs, we expect he would want treatment.
If treatment were possible.
For all these reasons, bad leg-veins are likely not the full cause of Trump's ankle swelling. What else could be happening? Let's return to our patient.
We already suspected a strained heart.
Now add unexplained ankle swelling.
Then add our patient's advanced age.
With this, the top suspicion must be heart failure, which is a very common syndrome past age 75.
It means the heart is inadequate for its job. To get by, it drops blood pressure, raises pulse, and accepts fluid in the ankles and legs.
Whenever a patient has heart failure, the doctor immediately asks whether the heart is squeezing weakly or relaxing stiffly.
Helpfully, the president's physician performed an ultrasound scan of the heart, called an "echocardiogram," which showed a preserved ejection fraction, meaning the heart squeezes well.
Knowing the heart squeezes well, the process of elimination tells us that Trump has poor relaxation of his heart. This type of heart failure is difficult to treat.
Our next job is to find why Trump's heart relaxes poorly.
The first thing to notice is that the president never had high blood pressure.
This is very important, because high blood pressure causes most cases of relaxation heart failure.
The next thing to notice is that the president is old.
For cardiologists, an alarm bell goes off when they see an older patient with relaxation heart failure who never had high blood pressure.
The alarm is for a disease called amyloidosis.
Amyloidosis is an odd disease. Abnormally behaving proteins in the blood slowly infiltrate body tissues, causing organs to gradually malfunction, mimicking aging. It is notoriously hard to diagnose early.
Later, proteins infiltrate the heart, making it too stiff to relax normally. Treatments exist, but there is no cure.
Amyloidosis causes a multitude of symptoms.
It can explain all of Trump's medical findings here, including the years-long bruising on his hands. But there's a bigger amyloidosis tip-off.
Consider the president's May 2026 physical exam. The most thorough in the world. Consultations from 22 medical specialists. On a seventy-nine year old man. And they found not one abnormality the public didn't know already.
That's impossible. How could it be?
It's easy. Results of multiple routine tests were not disclosed, the ones that can be abnormal in amyloidosis.
Including incredibly basic tests, like urinalysis and EKG. Tests your grandmother needs to get life insurance. In short, the reports of Trump's exam gave amyloidosis no chance to show itself. That is a major tip-off.
Most likely, you are now wondering why this is the first you have heard of amyloidosis in the president.
Blame the media. They inadequately examined Trump's public medical data.
Here's a blatant example. Three of Trump's physical exams mention his blood count, called the hematocrit. Clearly, his blood count dropped
from forty-eight point seven
to forty-four point seven
to forty.
That's a relative twenty percent decline. ... A red flag. ... Some thing is wrong with the president. ... No one can argue with that. ... But no one noticed it.
Here it is in a graph. Although Trump's current blood count is borderline anemic, the great magnitude of the drop makes it a certain case of anemia. That no one noticed.
Even worse, the White House changed its definition of anemia in 2026. Moving the anemia goalposts kept the president's blood count from being obviously below the normal range. And no one noticed!
All we can do is sigh, put the data in our chart, and move on to weight.
Trump's weight rose in the last year. Every media outlet wrote about that. But incorrectly.
In the same period, Trump's ankles were carrying significant fluid.
Cardiology colleagues estimate 10 to 20 pounds.
When Trump stands on a scale, his total weight is the weight of this fluid plus his dry weight of bone and muscle and fat.
That means scales no longer report Trump's dry weight. For Donald Trump, weight change could now be from fluid change, not fat change.
A graph shows this. The media writes about the black line, but it's now the dotted line, the dry weight, that is Trump's real story.
Sadly, there is no good way to measure just the dry weight or just the fluid weight. Both must be estimated.
Not appreciating dry weight causes significant mistakes. Here are three photos of Trump over the past two years.
The tissue and or swelling in his face and neck tells a story the media missed. It looks like he is losing both fat mass and muscle mass.
The question now is whether Trump's dry weight is following a curve like the gold line.
Loss of dry weight is an ominous sign in both amyloidosis and heart failure.
Ultimately, all we can do is enter the weights in our chart and remember they are now misleading.
With that, our chart is complete, and we have reached a new understanding of the medical possibilities for President Trump, as far as the evidence allows.
This video has been an overview. Physicians may be wondering about various details. Please visit sick presidents dot com, where they are likely discussed, then let me know where I've strayed.
In summary, President Trump has signs of amyloidosis, heart failure, and anemia. This video raises strong suspicions that he has those conditions. It makes no diagnosis of amyloidosis. It can't. Diagnosis requires specialized testing.
Nevertheless, suspicion is important. Trump needs definitive testing for amyloidosis, and the results of those tests should be disclosed to the American people. Sick presidents dot com explains why.
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