Trump added that he does not dwell on the issue, stating that his outlook and genetics give him confidence. He pointed to his mother’s side of the family, noting their long lifespans and lack of serious heart disease, and said genetics play a decisive role in health.

He also defended his long-standing use of bl00d-thinning medication.

Trump has said he takes 325 milligrams of aspirin daily—higher than the low-dose amount sometimes recommended by doctors—because he wants to avoid what he described as “thick blood.” Reporting by the BBC has noted this dosage.

Medical guidance from institutions such as the Mayo Clinic says low-dose aspirin can reduce the risk of heart attack and stroke, while also warning that bleeding risks increase with age. Despite this, Trump has said he is reluctant to change his routine, explaining that he is “a little superstitious” after following it for many years.