Health
Heart condition tied to Lindsey Graham’s death can strike without warning — what to know
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New details surrounding Sen. Lindsey Graham’s sudden death have drawn attention to a cardiovascular emergency that can become fatal within minutes.
A statement released by Graham’s office on Sunday cited preliminary findings from the District of Columbia’s Office of the Chief Medical Examiner, identifying the cause of death as an aortic dissection due to arteriosclerotic cardiovascular disease.
Authorities said Graham, 71, was transported to George Washington University Hospital, where he was pronounced dead at 10:23 p.m. Saturday. An autopsy was completed Sunday.
MEDICAL EXAMINER RELEASES PRELIMINARY FINDINGS IN LINDSEY GRAHAM’S DEATH AS DEATH CERTIFICATE REMAINS PENDING
“The death certificate will be PENDING until all the toxicological and microscopic testing are finalized, and at that point the death certificate will be updated to reflect the cause of death and appropriately classify the manner of death,” the statement said.
Fox News Digital reached out to Graham’s office requesting comment.
New details surrounding Sen. Lindsey Graham’s sudden death have drawn new attention to a cardiovascular emergency that can become fatal within minutes. (Getty Images)
What is an aortic dissection?
An aortic dissection is a life-threatening medical emergency in which a tear develops in the inner layer of the aorta — the body’s largest artery, according to Mayo Clinic.
“It occurs when the layers of the aorta come apart and the inner one tears,” Fox News senior medical analyst Dr. Marc Siegel, who did not treat Graham, told Fox News Digital.
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Blood rushes through the tear and causes the layers of the aortic wall to separate, which can disrupt blood flow to vital organs or lead to a fatal rupture if not treated immediately.
“It can come on in minutes or days and may be hard to recognize,” added Siegel, noting that while dissections can evolve over time, symptoms often appear suddenly.
A spontaneous coronary artery dissection is a rare, sometimes fatal traumatic condition that can disrupt blood flow to vital organs or lead to a fatal rupture if not treated immediately. (iStock)
Dr. Kenneth Perry, an emergency physician based in South Carolina, said the best way to visualize the condition is to think of the aorta as a hose.
“The wall of the hose has multiple layers to it, and if the layers separate, the water can no longer pass down the regular opening in the tube,” Perry, who also was not involved in Graham’s care, told Fox News Digital. “Often, this starts as a very small tear that keeps progressing because of the water pressure.”
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“The same thing is happening in the aorta,” he went on. “The small tear in the wall of the aorta continues to progress, usually from severely elevated blood pressure.”
As the tear continues past the smaller arteries coming from the aorta, blood can no longer flow from the heart to the other organs.
Sen. Lindsey Graham talks with reporters in the U.S. Capitol on March 10, 2026. Authorities said Graham, 71, was transported to George Washington University Hospital, where he was pronounced dead at 10:23 p.m. Saturday. (Tom Williams/CQ-Roll Call, Inc via Getty Images)
“This causes the organs that need that blood to die from lack of oxygen,” Perry said. “The only way to survive such a diagnosis is very early identification and strict blood pressure control with emergent operative management.”
Aortic dissection is relatively rare, affecting an estimated three to four people per 100,000 each year, according to Cleveland Clinic.
What causes an aortic dissection?
In Graham’s case, the preliminary findings cited arteriosclerotic cardiovascular disease. This condition is most commonly associated with atherosclerosis, in which plaque builds up inside the arteries, causing them to harden and narrow.
Over time, this process can weaken the wall of the aorta, increasing the risk of an aortic dissection.
“It can come on in minutes or days and may be hard to recognize.”
High-risk groups
Arteriosclerotic cardiovascular disease can develop over time and is driven by several factors, according to the American Heart Association and Mayo Clinic.
Some of the groups at highest risk include the following.
- People with uncontrolled high blood pressure (hypertension), which places constant stress on the aortic wall
- Older adults, particularly those in their 60s and 70s
- Men, who are diagnosed more often than women
- People with atherosclerosis (hardening of the arteries) or other cardiovascular disease
- Those with an aortic aneurysm, which weakens the wall of the aorta
- People born with certain heart defects, such as a bicuspid aortic valve
- Those with inherited connective tissue disorders, including Marfan syndrome, Loeys-Dietz syndrome and vascular Ehlers-Danlos syndrome
- Smokers and people with longstanding high cholesterol, both of which contribute to artery damage
- People with diabetes and obesity
- Those who are physically inactive and/or eat an unhealthy diet
Sen. Lindsey Graham speaks during a Senate Judiciary Committee meeting on Nov. 9, 2023, in Washington, D.C. Graham’s fatal condition was linked to arteriosclerotic cardiovascular disease. (Alex Wong/Getty Images)
“Graham’s father had a cardiac arrest, and if it was from a dissection, it would increase the risk,” Siegel noted.
Warning signs you should never ignore
Symptoms of an aortic dissection can come on suddenly and often mimic those of a heart attack or stroke, experts say.
Anyone experiencing any of the below warning signs should call 911 for immediate emergency medical care, according to Siegel and other health experts.
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- Sudden, severe chest or upper back pain, often described as tearing, ripping or stabbing, which may spread to the neck or back
- Shortness of breath
- Sudden, severe abdominal pain
- Loss of consciousness (fainting)
- Stroke-like symptoms, such as sudden vision changes, difficulty speaking, weakness or numbness on one side of the body
- Leg pain or difficulty walking
Arteriosclerotic cardiovascular disease can develop over time and is driven by several factors, according to the American Heart Association and Mayo Clinic. (iStock)
“Aortic dissection is one of the diseases that emergency physicians think of often when someone presents with chest pain — specifically pain described as a tearing sensation, with elevated blood pressure,” Perry told Fox News Digital.
“We often describe the aortic dissection patient as appearing to have a ‘kidney stone of the chest,’ — meaning they have severe pain and cannot get comfortable, similar to kidney stone patients.”
Diagnosis and treatment
Early diagnosis and treatment greatly improve the chances of survival for those who have suffered an aortic dissection.
Doctors typically diagnose an aortic dissection using imaging tests, including a CT scan, transesophageal echocardiogram (ultrasound), magnetic resonance angiography (MRI-based scan) and chest X-ray, per Mayo Clinic.
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The condition requires immediate medical treatment, which will depend on which part of the aorta is affected.
Type A dissections involve the ascending (upper) aorta near the heart, which typically require emergency surgery.
According to the American Heart Association, an untreated acute aortic dissection is one of the deadliest cardiovascular emergencies. (iStock)
Type B dissections affect the descending (lower) aorta farther from the heart, according to Mayo Clinic. These may be treated with medications to lower blood pressure and heart rate, although some may also require surgery or a stent.
Those who survive the event will generally need lifelong blood pressure management and regular imaging to monitor the aorta, per the above source.
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“This condition has a high mortality rate,” Siegel said.
According to the American Heart Association, an untreated acute aortic dissection is one of the deadliest cardiovascular emergencies.
“We often describe the aortic dissection patient as appearing to have a ‘kidney stone of the chest.’”
For untreated dissections involving the ascending aorta, the risk of death increases by approximately 1% to 2% for every hour treatment is delayed after symptoms begin, according to the American College of Cardiology and the American Heart Association.
Without treatment, more than half of people with a Type A aortic dissection die within one month. About 20% of Type A patients will die in the hospital, compared to 10% for treated Type B dissections.
Can it be prevented?
While not all aortic dissections can be prevented, people can reduce their risk by controlling certain lifestyle factors.
“You need to make sure your blood pressure is well-controlled, your cholesterol is low and that you are seen regularly by a doctor,” Siegel advised.
Smokers should kick the habit, he said, as they are at a highly increased risk.
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Maintaining a healthy weight and following treatment plans for underlying heart or vascular conditions can also reduce the risk, according to Mayo Clinic.
People with a family history of aortic disease or inherited connective tissue disorders should discuss screening with their healthcare provider, doctors advise.
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Former President Joe Biden’s prostate cancer has spread further since his diagnosis last year, his son Hunter Biden revealed in a BBC interview that aired Friday.
“The cancer has spread, metastasized into his bones and further,” Hunter Biden told BBC Newsnight, describing his father’s condition as “very painful” and “very debilitating in many respects.”
“It’s really sad to watch,” the younger Biden went on. “The only thing that I’d say about my dad, about his health right now, is I wish he would complain more, because it’s not good.”
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Biden, 83, announced his diagnosis in May 2025, after news that a “small nodule” had been found in the former president’s prostate during a routine exam.
“While this represents a more aggressive form of the disease, the cancer appears to be hormone-sensitive, which allows for effective management,” his office said at the time. “The president and his family are reviewing treatment options with his physicians.”
Former President Joe Biden’s prostate cancer has spread further since his diagnosis last year, his son Hunter Biden revealed. (Getty Images)
Biden later underwent hormone therapy and radiation treatment, completing a course of radiation at Penn Medicine Radiation Oncology in Philadelphia in October 2025, according to the former president’s spokesperson.
In addition to hormone therapy, common treatment options for prostate cancer include chemotherapy, targeted therapy, immunotherapy and radiopharmaceutical treatments.
Fox News Digital reached out to Biden’s office for comment.
What to know about prostate cancer
Prostate cancer is a disease found in men that develops in the prostate gland. Cases have been on the rise in recent years, with overall incidence increasing about 3% annually from 2014 through 2021, according to the American Cancer Society.
Rates of advanced-stage prostate cancer rose about 5% per year during that period.
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About 333,830 new cases of prostate cancer are expected to be diagnosed in the U.S. in 2026, and about 36,320 men are expected to die from the disease, according to the American Cancer Society.
One in eight men will be diagnosed with prostate cancer in their lifetime, the same source stated.
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Older men are at a higher risk of the disease, with six in 10 cases diagnosed in patients 65 and older. The average age at diagnosis is 67, with men under 40 rarely affected.
Prostate cancer is the second-most common cancer in men, behind only skin cancer, the ACS noted.
Signs and symptoms
Among men who undergo routine prostate cancer screening, the disease is usually caught early before symptoms emerge, per the ACS.
Typical early symptoms include problems urinating, a weak or slow urinary stream or an increased need to urinate. Some men may also notice blood in the urine or bodily fluids.
Biden, 83, announced his diagnosis in May 2025, after news that a “small nodule” had been found in the former president’s prostate during a routine exam. (AP Photo/Jacquelyn Martin, File)
More advanced symptoms may occur after the disease has spread. Those may include pain in the hips, back (spine), chest (ribs) or other areas, the ACS stated.
Men may also suffer from erectile dysfunction, weight loss, extreme fatigue, weakness in the legs or feet, or loss of bladder or bowel control.
Screening recommendations
The U.S. Preventive Services Task Force states that men aged 55 to 69 years should have the option to undergo periodic prostate-specific antigen (PSA)-based screening to monitor for prostate cancer.
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“Before deciding whether to be screened, men should have an opportunity to discuss the potential benefits and harms of screening with their clinician and to incorporate their values and preferences in the decision,” the USPSTF states.
The U.S. Preventive Services Task Force states that men aged 55 to 69 years should have the option to undergo periodic prostate-specific antigen (PSA)-based screening to monitor for prostate cancer. (iStock)
While screening offers a “small potential benefit” of reducing the chances of dying from the disease, the agency noted that some men may experience negative effects, including false-positive results, overdiagnosis and overtreatment, and treatment complications.
Alternative prostate cancer screening methods are currently being researched, including one that uses a non-invasive urine test, as Fox News Digital recently reported.
Survival rates
For localized prostate cancers, where the disease is contained within the prostate, the five-year survival rate is at least 99%, according to the ACS.
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For regional cases, where the disease has spread only to “nearby structures or lymph nodes,” the five-year survival rate is also 99% or greater.
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If the cancer has spread to other areas of the body, the five-year survival rate drops to 37%.
Actual survival rates may vary based on the patient’s age, overall health, how the cancer has progressed post-diagnosis, the disease’s response to treatment, and other factors, the ACS noted.
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Sexual desire can change over the course of a marriage, particularly with age and major life changes. And research suggests certain lifestyle and relationship factors may also contribute to a lower libido.
But changes in desire or frequency do not necessarily mean a couple’s sex life is unhealthy, according to experts.
Dr. Anna Elton, a licensed marriage and family therapist and clinical sexologist in Massachusetts, said there is “no medically prescribed number that defines a healthy sex life.”
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“What’s healthy is whether both partners feel connected, satisfied and respected in their intimate relationship,” she told Fox News Digital.
“For some couples, that may mean several times a week, while for others it may be once or twice a month. The healthiest benchmark is mutual fulfillment.”
There is no set benchmark for how often married couples should have sex, as long as both partners feel fulfilled, an expert said. (iStock)
Rather than comparing their sex lives to those of others, Elton encouraged couples to define what is healthy for their own relationship.
“Talk about what feels satisfying, how much time can pass before one or both of you starts feeling disconnected and what your warning signs are,” she said. “Once you’ve agreed on that range, make a commitment to maintain it together.”
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Elton advised couples not to let too much time pass without “intentionally reconnecting” because prolonged disconnection can take a toll on the relationship.
“If we simply wait until the mood is perfect or the stars align, work, children and everyday responsibilities usually get in the way,” she said. “Healthy relationships require intention. Both partners should share responsibility for initiating connection and creating the conditions where desire can develop.”
The expert advised couples not to let too much time pass without “intentionally reconnecting” because prolonged disconnection can take a toll on the relationship. (iStock)
For many couples, building careers, raising children, caring for aging parents, managing finances and juggling other responsibilities can demand more of their attention, and they may not realize that the relationship itself has become a low priority.
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“As a result, couples begin living parallel lives,” Elton told Fox News Digital. “Conversations revolve around schedules, errands, bills and the kids. Intentional time together becomes less frequent. Affection, physical touch, flirting and playfulness become less frequent, replaced by stress, conflict and growing resentment.
“For many couples, those changes are among the earliest signs that the relationship is no longer being intentionally nurtured, and sexual intimacy declines soon afterward.”
Less affection, physical touch, flirting and playfulness is an early sign that the relationship could be in danger. (iStock)
Elton countered that many couples she’s worked with continued to have sex regularly to “keep the peace or avoid conflict.” While their sex life appeared healthy from the outside, the couples felt “emotionally disconnected and unfulfilled.”
“Physical intimacy and emotional closeness go hand in hand,” she said. “If we want to improve our sex lives, we have to focus on the connection itself.”
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“If one or both partners consistently feel rejected, lonely or resentful or avoid conversations about intimacy altogether, it’s time to seek help.”
If sex becomes painful or erectile difficulties arise or if hormonal concerns, trauma, depression, anxiety or persistent differences in desire are creating distress, couples should address these issues with a professional as early as possible, the expert advised.
If sex becomes painful or erectile difficulties arise – or if hormonal concerns, trauma, depression, anxiety or persistent differences in desire are creating distress – couples should address these issues with a professional as early as possible, the expert advised. (iStock)
One of the most common concerns Elton sees in her practice is differences in sexual desire, which she confirmed is “completely normal.”
The key is to approach intimacy “as a team” because research has shown this leads to maintaining “stronger desire” over time.
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“Being responsive means staying curious about your partner’s experience,” she said. “Instead of pressuring or withdrawing, couples communicate openly, respect each other’s boundaries and work together to find an approach to intimacy that feels satisfying for both people.”
Couples should also broaden their definition of intimacy, Elton suggested, as general affection, physical touch, flirting, emotional closeness and intentional time together can “help partners feel more connected and create the conditions where sexual desire naturally returns.”
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