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TOXICOLOGICAL PROFILE FOR BARIUM AND COMPOUNDS ...

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21<br />

2. HEALTH EFFECTS<br />

histopathological lesions of the lung have not been observed in rats exposed<br />

to 0.7 mg barium/kg/day as barium acetate in drinking water for lifetime<br />

(Schroeder and Mitchener 1975a).<br />

Cardiovascular Effects. The most commonly observed cardiovascular<br />

effects in cases of acute ingestion of barium compounds are hypertension and<br />

abnormalities in heart rhythm (Das and Singh 1970; Diengott et al. 1964; Gould<br />

et al. 1973; Wetherill et al. 1981). Myocardial damage was observed in a few<br />

cases (Lewi and Bar-Khayim 1964; McNally 1925; Talwar and Sharma 1979). Ln<br />

one atypical case, hypotension was observed (Talwar and Sharma 1979).<br />

No adverse effects on blood pressure or cardiac rhythms were observed in<br />

a study in which volunteers consumed 0.21 mg barium/kg/day for 4 weeks (Wones<br />

et al. 1990). In this study, the subjects' preexposure blood pressure and<br />

cardiac rhythm served as the control for comparison with postexposure values.<br />

This study is somewhat limited in that the number of subjects evaluated was<br />

small (n=11) and the absorption and/or serum levels of barium were not<br />

assessed. An epidemiological study of communities consuming drinking water<br />

containing elevated barium levels also did not provide evidence that chronic<br />

exposure to barium in drinking water was associated with increased blood<br />

pressure, hypertension, stroke, heart disease, or altered electrocardiograms<br />

(Brenniman and Levy 1985; Brenniman et al. 1979a, 1979b, 1981). However, this<br />

study is limited in that blood pressure was determined in a single 20-minute<br />

session and not followed over a longer period (e.g., months, years), exposure<br />

conditions were not well-characterized (duration, frequency), individual<br />

exposure doses were not determined, and the incidence of hypertension, stroke,<br />

and heart disease was determined by responses to a survey questionnaire and<br />

not by testing and/or diagnosis.<br />

Cardiovascular effects have been evaluated in acute, intermediate, and<br />

chronic oral studies with experimental animals. Acute studies have been<br />

limited to histological examination of the heart following 1-day or 10-day<br />

gavage exposure of rats to doses as high as 198 mg barium/kg/day as barium<br />

chloride (Borzelleca et al. 1988). No microscopic lesions of the heart were<br />

observed. Other cardiovascular parameters were not evaluated.<br />

Results from several studies with experimental animals indicate that<br />

intermediate and chronic oral exposure to barium is associated with adverse<br />

cardiovascular effects (Kopp et al. 1985; Perry et al. 1983, 1985, 1989). In<br />

a series of experiments, rats were administered barium chloride in drinking<br />

water either for 1, 4, or 16 months (Perry et al. 1983, 1985, 1989).<br />

Elemental barium doses in the l-month study were either 0, 0.071, 0.71, or<br />

7.1 mg/kg/day. Elemental barium doses in the 4-month study were either 0,<br />

0.0643, 0.643, or 6.43 mg/kg/day. Elemental barium doses in the 16-month<br />

study were either 0, 0.054, 0.54, or 5.4 mg/kg/day. In the l-month study,<br />

significant increases in blood pressure were noted in rats treated with<br />

7.1 mg/kg/day; no change in blood pressure was noted in rats treated with

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