(National Sentinel) Guessing Game: CNN medical advisor Dr. Sanjay Gupta on Wednesday diagnosed President Donald J. Trump with “heart disease” on the air based on a single lab result, and without ever examining him physically.

The diagnosis goes against that of Trump’s actual physician, Navy Rear Adm. Dr. Ronny Jackson, who proclaimed the president on Tuesday to be in excellent physical and mental health.

“When you look at the findings you just put up there, Alisyn — this coronary calcium score is a score a lot of cardiologists use to try and be predictive and be proactive,” Gupta said on CNN‘s “New Day” with Alisyn Camarota.

“And if the number gets up over a hundred, that is concerning to a lot of doctors. It’s concerning because you start to say if you do nothing different, if things don’t change, you can start to predict the likelihood that some sort of heart event, some sort of cardiac event — a heart attack or something like that — within a certain number of years,” he added.

Gupta made his diagnosis based on Trump’s coronary calcium scores going back 10 years.

“And you see the trajectory of President Trump’s numbers — no doubt, and I think Dr. Jackson alluded to this because of his diet and because of his lack of exercise, that would be part of the reason those numbers have likely gone up,” Gupta said.

“And they have continued to go up despite the fact that he’s been on medication. So the president has heart disease. Those numbers qualify him for having heart disease. And it clearly needs a plan to prevent some kind of heart problem down the road,” he added.

A score of 100 is generally concerning for cardiologists — Dr. Gupta is a neurosurgeon — and Trump’s coronary calcium score is 133.

“The presence and extent of coronary calcium are first and foremost markers of the extent of atherosclerosis within the coronary arteries,” says the website DocsOpinion.com. “Nonetheless, it is important to understand that the coronary calcium score does not necessarily reflect the severity of narrowing (the degree of stenosis).”

Jackson put Trump through a cardio-stress test, which is designed to diagnose stenosis, as well as an echocardiogram.

Jackson said no problems were found.

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