The White House has released a medical memorandum regarding President Donald Trump's recent physical examination at Walter Reed National Military Medical Center, asserting his overall fitness for office.

白宮發布了一份關於川普總統近期在華特里德國家軍事醫療中心進行體檢的醫療備忘錄，聲稱其整體健康狀況足以勝任公職。

The memorandum, authored by Navy Capt. Sean Barbabella, posits that the 79-year-old President maintains excellent health, characterized by robust pulmonary, neurological, and cardiac functions. This assessment is supported by a Montreal Cognitive Assessment score of 30/30 and an AI-enhanced electrocardiogram estimating a cardiac age of 65. However, the report notes a weight increase of 14 pounds since April 2025, resulting in a BMI of 29.7, which prompted clinical guidance on dietary modification and increased physical activity.

這份由海軍上校 Sean Barbabella 撰寫的備忘錄認為，這位 79 歲的總統健康狀況良好，其肺功能、神經系統與心臟功能均十分強勁。此評估之依據為蒙特利爾認知評估（MoCA）得分 30/30，以及 AI 強化心電圖估計心臟年齡為 65 歲。然而，報告指出自 2025 年 4 月起體重增加了 14 磅，導致 BMI 達到 29.7，因此臨床上建議採取飲食調整並增加體能活動。

External medical practitioners have identified significant data lacunae within the cardiovascular section of the report. Specifically, the absence of ejection fraction measurements, calcium scores, and CAD-RADS metrics has led some clinicians to characterize the narrative as filtered. While the administration maintains that the omission of such data confirms the absence of clinically meaningful abnormalities, critics argue that the lack of specificity regarding arterial plaque and carotid ultrasound metrics precludes a comprehensive health evaluation.

外部醫療從業人員發現報告的心血管部分存在顯著的數據缺失。具體而言，由於缺乏射出分率（ejection fraction）測量、鈣化分數（calcium scores）及 CAD-RADS 指標，導致部分臨床醫生將此敘述定義為經過篩選。雖然政府維持認為缺失此類數據即證明不存在具有臨床意義的異常，但批評者主張，缺乏關於動脈斑塊與頸動脈超音波指標的詳細說明，使得全面的健康評估無法達成。

Further discrepancies exist regarding the President's chronic conditions and current symptoms. Although the report acknowledges chronic venous insufficiency and attributes hand bruising to aspirin therapy and frequent handshaking, it omits any reference to a neck rash reported in March. Additionally, some physicians have flagged suboptimal levels of Vitamin B12 and Vitamin D, as well as elevated homocysteine levels, suggesting potential methylation issues and immune system implications. The White House has dismissed these critiques as speculation, asserting that the President has disclosed more health data than any historical predecessor.

關於總統的慢性疾病與目前症狀仍存在分歧。儘管報告承認患有慢性靜脈功能不全，並將手部瘀傷歸因於服用阿斯匹靈及頻繁握手，但卻未提及 3 月份被報導的頸部紅疹。此外，部分醫師指出維生素 B12 與維生素 D 水平不理想，以及同型半胱氨酸（homocysteine）水平升高，暗示可能存在甲基化問題與免疫系統影響。白宮將這些批評視為揣測而予以否認，並聲稱總統披露的健康數據比以往任何前任總統都多。

While the official administration position is that the President is fully fit for duty, independent medical analysts continue to question the completeness and veracity of the provided data.

雖然官方立場是總統完全勝任公職，但獨立醫療分析師仍持續質疑所提供數據的完整性與真實性。