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Warning Signs of an Impending Heart Attack Include Ear Crease


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 Diagonal Crease in Ear


In a study of 340 admitted to a hospital in Montreal  with chest pains, 95,7% percent of men who had a diagonal crease in their ear goin more than halfway across the earlobe were were found to have a heart attack triggered by obstructive coronary artery disease.  Of course, if you these signs and have not yet been evaluated for coronary artery disease by your health care practitioner, we recommend you seek professional medical help as soon as possible (within a day or two unless you have more severe symptoms, such as chest pains in which case you should go to your nearest emergency room). 

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One of the researchers examined the earlobes of 340 patients consecutively admitted to the Montreal Heart Institute for coronary arteriography that had been requested because of chest pain in 178, recurrent symptoms after a myocardial infarction in 115 and suspected valvular or primary myocardial disease in 47. 

Without knowing the results of the coronary arteriography the examiner assessed the earlobe for the presence of a clear-cut diagonal crease of the lobular portion of either ear lobe.  In addition, we included patients in whom the crease extended for a distance greater than half the diagonal of the earlobe (Fig. 1).

After the earlobe had been assessed, the researchers looked for the following risk factors and other indicators of coronary artery disease in all patients: a personal history of
documented myocardial infarction, a family history of myocardial infarction (heart attack) or sudden death before the age of 55 years, cigarette smoking, corneal arcus (opaque cholesterol ring around the top and bottom of the cornea), age, systolic and diastolic blood pressures, and levels of cholesterol, triglycerides and glucose in blood collected while the patient fasted.

A cardiac radiologist analysed the cineangiograms and classified them as abnormal if they showed that the lumen of any artery had been narrowed by 30% or more. The severity of the narrowing was graded as follows: grade 1, a 30% to 50% reduction in the diameter of one or more of the main vessels; grade 2, narrowing greater than 50% in one or two main vessels; grade 3, narrowing greater than 50% in three main vessels.

The Ear Crease Sign positively predicted coronary artery disease in mean at a rate of 95.7% and women at a rate of 66.7%.  The rate of accuracy was significantly higher in individuals 55 and older.  The Corneal arcus was predictive in 66% of men and women.

Below are the findings of the research in table form concerning Ear Crease Sign (ECS):



  
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Citations:

Link to research on National Institutes of Health (NIH) website

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23. GALLEN RS, GAMBINO SR: More on prevalence and predictive value and their
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24. HAINES Si: Non specificity of ear-crease sign in coronary-artery disease (C). N Engl J
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26. BOU1SSOU H, PIERAGGI MT, JULIAN M, PENDARIES I, SEGUIER I, SALVADOR M,
DARDENNE P: Interet de la biopsie cutande chez linsuffisant coronarien. Arch Ma!
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27. PASTERNAC A, DU CAILAR C, VOUHE P. GRONDIN P. LESPERANCE J, GOULET C,
BOuISSOu H, SOLYMOSS BC: Correlation between dermal degenerative changes and
coronary atherosclerosis (abstr). Clin Res 1979; 27: 193A
28. SHOENFELD Y, MOR R, WEINBERGER A, AVIDOR I, PINKHAS I: Diagonal ear lobe
crease and coronary risk factors. JAm Geriatr Soc 1980; 28: 184-187
29. RHOADS GO, KLEIN K, YANO K, PRESTON H: The earlobe crease - sign of obesity in
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Intern Med 1977; 87: 245
31. KRISTENSEN BO: Ear-lobecrease and vascular compliestions in essential hypertension
(C). Lance: 1980; 1: 265
32. ANDRESEN AR, CHRISTIANSEN JS, JENSEN JK: Diagonal ear-lobe crease and diabetic
retinopathy (C). NEngi J Med 1976; 294: 1182-1183
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