ee axis deviation“wes normal or to the right in most individuals. Lefraxis deviation, and only of moderate degree, was present in six individuals, two in vears of age in the exposed group. and then toa subjects was vertical. In 22 subjects it was inter- amount of arteriosclerosis was fairly well distributed between both populations, as can be seen in the vounger unexposed group, three in the older unexposed group, and one in the older exposed group. The electrical position of the heartina greqat majority of both the unexposed and exposed mediate and in 9 ,all unexposed) it was moder- atelv horizontal. Rotation of the heart electrically in the combined groups was clockwise in 25 subjects and counterclockwise in 36, with about equal distribution between the exposed and unexposed groups. 4. RSTandT Waves. Abnormal variations were carefully noted for indications of coronary or myocardial insufficiency and/or mvocardial disease or damage. Deviations of the RST segment from the isoelectric line were found to be minimal; they oc- curred in onlyfive of the 84 unexposed subjects and in only one of the 38 exposed subjects. T wave abnormalities were of appreciable degree in only a few instances in the older group. The abnormalities were chiefly in lower T waves and wererelated to hypertensive disease. T wave changes were most marked in a 51-year-old male ( #80) of the exposed group, who had arteriosclerotic heart disease and auricularfibrillation. Marked RST and T wave changes were noted in an 81-year-old male (+46) of the exposed group, who had degree compatible with age. Since there were no individuals examined in the unexposed group >70 years of age for comparison, any assumption that the arterrosclerosis was increased in these four individuals by their exposure to fallout radiation is unwarranted. Otherwise the presence and the Table 1+. It was not observed in a degree premature or advanced for the given age. 2. Arterial Blood Pressures. Blood pressures greater than 140 svstolic and 90 diastolic were considered abnormal. On this basis in the exposed group noneof the 24 subjects <50 ofage and seven of the 16 subjects >50 had hypertension, but mostly of mild degree. There were 17 cases of hypertension in the unexposed group, 2 in those <(50 vears of age and 15 in those >50. Thediastolic blood pressure showed only infrequent increase above the level of 90 mm; as would be expected, this occurred chiefly in the older group. The over- all incidence of hypertension for the total popula- tion examined was 9.2%, Table 16 ventricular conduction time as noted above. (£947), a 64-year-old female (#861), a 55-yearold male (+993), a 64-year-old female ( +858), and a 64-year-old male (+884); the last had changes sufficient to indicate a healed anterior septal cardiac infarct. Other Cardiovascular Observations 1. Peripheral Vascular Findings. Clinical esti- mation was madeof the degreeofarterial chariges in the peripheral vessels (radial, brachial, and dorsalis pedis). The degree of abnormality was graded by 0 to 4+ sclerosis (see section on aging studies). Arteriosclerosis was seen chiefly in subjects >50 year of age in both exposed and unexposed groups. It was not marked exceptin four individuals >70 L1855 74 Observations were taken on the legs at the mid-calf. In almost all subjects the pulsation was sufficient to indicate normal blood flow. Although the readings were lower in the Marshallese than might be expected in Caucasians, it appeared that peripheral vascu- marked hypertensive and arteriosclerotic cardiovascular disease, and had prolonged auriculo- Among the unexposed population there was evidence of myocardial insufficiency according to RST and T wave changes in a 5l-year-old male f 3. Oscillometry Readings. Ophthalmologica! Findings (% Incidence) Pterygium Pinguecula Corneal pigment Corneal scars Arcus senilis Phthisis bulbi Nystagmus Strabismus Areyll-Robertson pupil Cataracts Aphakia Vitreous opacities Retinal arteriosclerosis Chorioretinal scars Macular degeneration Drusen Congenital anomalies Exposed Unexposed 23.0 24.0 12.0 9.0 38.0 21.0 22.0 2.6 3.4 26.0 1.3 8.3 0.7 0.7 19.0 1.3 4.1 11.0 1.3 0.0 2.6 3.9 10.3 1.3 0.0 12.3 0.7 0.0 0.9 0.9 1.3 1.3 0.0 0.0

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