The Salina Journal from Salina, Kansas • Page 4

A4 WEDNESDAY, MARCH 7, 2001 WASHINQTON THE SALINA JOURNAL TVICE PRESIDENT'S HEALTH Cheney's artery could reclog again Vice president leaves hospital, but he will be closely monitored By LAURAN NEERGAARD Associated Press WASHINGTON It sounds incredible; Dick Cheney, in his second public bout with heart disease in four months, undergoes surgery his doctor calls urgent but walks out of the hospital a day later and can return to work this week. Many Americans would have trouble getting treated quite so fast, but actually a one-night hospital stay and quickly resuming normal activity now is standard after minimally invasive surgery to clear a clogged artery In many ways, the vice president epitomizes some of the best in heart care care that a VICE PRESIDENT'S FUTURE new American Heart Association campaign is trying to spread to more patients. But that doesn't mean Cheney is home free: He's got a 40 percent chance of this same artery reclogging again. Plus, after four previous heart attacks that moderately damaged his heart muscle, cardiologists say he's at higher risk than the average 60- year-old of suffering other cardiac problems. Heart experts say Cheney will need close monitoring for a while, especially if he plans any overseas trips.

And if this problem artery reclogs again, it may be time for newer options like inside-the-artery radiation. "For the next two to three months, he should be pretty golden," because reclogging takes some time, said Dr Jeffrey Brinker of Johns Hopkins University. But between summer and CHENEY REINER year's end, Cheney's risk of re- treatment will be highest, he said. Cheney left the hospital Tuesday morning, saying he felt good a day after chest pain prompted him to seek treatment. The problem: Back in November, doctors treated Cheney for a mild heart attack by implanting a stent, a little metal scaffolding, to prop open an almost completely blocked artery But in 20 percent of patients, the body reacts against the eign object by essentially forming scar tissue, a complication called restenosis that partially blocked one end of Cheney's stent.

Doctors had to thread a balloon into Cheney's narrowed artery and inflate it to push aside the blockage. Cheney cardiologist Dr. Jonathan Reiner said the vice president's other arteries don't appear to have worsened, and the White House said Tuesday' that three sets of cardiac enzyme tests showed no additional heart damage. But Reiner acknowledged Cheney now has a 40 percent chance of that stent reclogging. Doctors should be able to detect restenosis before Cheney feels chest pain by performing exercise tests, Brinker said, recommending such monitoring either this summer or before an overseas trip that would put him out of reach of U.S.

cardiologists. National guidelines recommend trying the following therapy for everyone who's ever had a heart attack: Aspirin or other blood thinners; cholesterol management; drugs called ACE inhibitors and beta blockers; help for smokers to quit; weight control, including cutting dietary fat, and proper exercise. Cheney quit smoking years ago, appears to have recently lost weight, and is stringently following exercise and medication recommendations, Reiner said Monday "If the vice president were my patient, I'd try to emphasize the positive" that his other arteries still look OK, said Hopkins' preventive cardiology chief Dr. Roger Blumenthal. "There is a very high likelihood that he'll be able to finish out this term without any other problems." Cornerof Pacific Ohio Salina 820-2869 Doors Open at 7:00 p.m.

3-9 The Beat Kings 3-10 The Kinsey Report Alligator Records Recording Artist with Special Guest Jimmy Lewin and the King Tones. Show stmts at 8:30. 3-16 Downside Up 3-17 'HteGrip 3-23 Shagnasty 3-24 The Voo Doo Blues Band 3-30 The Soul Preachers 3-31 AJterior Motives Wed. Nhe is Open Jam Nite Sat. Live Entertainment Will Cheney stay on as VP? Bush says country 'needs his wisdom and judgment' By BILL STRAUB Scriijps Howard News Service WASHINGTON The Bush administration is trying to quash speculation that Vice President Richard Cheney's questionable health may force him to step down before his four-year term expires.

A White House aide said Tuesday there is no consideration being given to replacing the 60-year-old Cheney who on Monday entered the hospital for the second time since the November election because of continuing heart problems. That sentiment was echoed by President Bush during a visit to the Chicago Mercantile Exchange. Bush said Cheney is sufficiently fit to continue in his role, adding the country "needs his wisdom and judgment." Procedures for naming a replacement for a vice president are outlined in the 25th ment to the U.S. Constitution, ratified on Feb. 10, 1967.

It was adopted in the wake of Lyndon Johnson's ascension to power in 1963 upon the assassination of John F. Kennedy Johnson served without a vice president for 14 months. Congress must OK selection Section 2 of the amendment declares that "whenever there is a vacancy in the office of Vice-President, the President shall nominate a Vice President who shall take office upon confirmation by a majority vote of both Houses of Congress." The amendment has been invoked twice. Vice President Spiro Agnew resigned in 1973 after entering a no contest plea to bribery charges stemming from his tenure as governor of land. President Richard Nixon designated House GOP leader Gerald Ford as Agnew's replacement, and Ford was confirmed by the House and Senate.

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