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Loyola Neurologist Reports that 10 Presidents Have Suffered Strokes

MAYWOOD, Ill. - Ten of the nation's 44 presidents likely suffered strokes during their presidencies or after leaving office, according to Dr. José Biller, a Loyola University Medical Center neurologist.

Woodrow Wilson was so incapacitated by a series of strokes that his wife, Edith, became the virtual acting president. Franklin Roosevelt died of a massive stroke on April 12, 1945, leaving the presidency to an unprepared Harry Truman just as World War II was ending. And in 2000, former President Gerald Ford began slurring his words during a TV interview.

"Strokes affect the brain. And everything we do - from simple motor functions to more complex behaviors such as planning, reasoning and judgment - is brain-related," Biller said. "When a stroke affects a president, it can have a major impact not only on the individual, but on the world."

Biller is co-author of a study, titled "Stroke and the American Presidency," in the Journal of Stroke and Cerebrovascular Diseases. Since the article's publication in 1997, Biller has continued to observe from afar the neurological health of presidents and other major political figures. Biller is chair of the Department of Neurology at Loyola University Chicago Stritch School of Medicine.

Biller said the afflicted presidents had several stroke risk factors in common. Being men, they were more likely than women to suffer strokes. Seven of the 10 presidents were older than 65 when they suffered strokes. And, of course, the presidency is an extremely stressful job.

Plus, some of the presidents who suffered strokes had unhealthy lifestyles. Chester Arthur was obese and got little exercise. Franklin Roosevelt was a heavy smoker. Andrew Johnson may have abused alcohol. Wilson and Dwight Eisenhower suffered nonfatal strokes while in office. (Unlike Wilson, Ike did not suffer serious disabilities).

Seven presidents - John Tyler, Millard Fillmore, John Quincy Adams, Andrew Johnson, Chester Arthur, Richard Nixon and Gerald Ford - suffered strokes after leaving office.

What happens if a president suffers a debilitating stroke while in office? The 25th Amendment to the Constitution provides a mechanism for the vice president to become acting president should the president be unable to perform his or her duties.

Stroke treatments have significantly improved in recent years. And the sooner a patient arrives at the hospital, the better the outcome, Biller said.

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

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