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Cardiovascular screening of 726 males in a Fort William group practice was undertaken in an effort to determine possible causes for the high incidence of cardiovascular disease in the area. Sixty-four per cent of those sampled were born outside the area. The mean fasting plasma cholesterol level was surprisingly low at 5.4 mmol/l. Forty-three per cent of the sample were smokers and 22% had diastolic blood pressures above 90 mm Hg, 24% were clinically obese and 29% had a history of ischaemic heart disease amongst first degree relatives. Public awareness of cardiovascular risk factors was found to be low. A local health education programme could prove to be of great benefit.