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. 1989 Apr;61(4):361–364. doi: 10.1136/hrt.61.4.361

Diagonal earlobe creases and fatal cardiovascular disease: a necropsy study.

N Kirkham 1, T Murrells 1, D H Melcher 1, E A Morrison 1
PMCID: PMC1216678  PMID: 2713193

Abstract

The association between diagonal earlobe creases and fatal cardiovascular disease was investigated in a consecutive series of 303 coroner's necropsies. Those studied all died outside hospital in the Brighton Health District. Data were analysed on the cause of death and on the type of earlobe, the presence or absence of diagonal creases, age, sex, height, and any previous history of cardiovascular disease or diabetes mellitus. The age of nine men and six women was not known. Cardiovascular causes of death included ischaemic and hypertensive disease, calcific valvar stenosis, ruptured dissecting aneurysm of the thoracic aorta, and ruptured atheromatous aneurysm of the abdominal aorta. The mean (SD) age at death was 72 (15) and the male to female ratio was 1.3:1. Diagonal creases were present in 123 (72%) of 171 men and 88 (67%) of 132 women. A previous history of cardiovascular disease was present in 90 (30%) of the total of 303 and 74 (35%) of the 211 with diagonal creases. A cardiovascular cause of death was present in 154 (73%) of 211 with and 41 (45%) of 92 without diagonal creases and was associated with an increased risk of a cardiovascular cause of death of 1.55 in men and 1.74 in non-diabetic women.

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Selected References

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  1. Christiansen J. S., Mathiesen B., Andersen A. R., Calberg H. Letter: Diagonal ear-lobe crease in coronary heart disease. N Engl J Med. 1975 Aug 7;293(6):308–309. doi: 10.1056/NEJM197508072930626. [DOI] [PubMed] [Google Scholar]
  2. Dang C. V. The ear lobe crease: chromosomes, acupuncture, and atherosclerosis. Lancet. 1984 May 12;1(8385):1083–1083. doi: 10.1016/s0140-6736(84)91496-x. [DOI] [PubMed] [Google Scholar]
  3. Elliott W. J. Ear lobe crease and coronary artery disease. 1,000 patients and review of the literature. Am J Med. 1983 Dec;75(6):1024–1032. doi: 10.1016/0002-9343(83)90883-5. [DOI] [PubMed] [Google Scholar]
  4. Frank S. T. Aural sign of coronary-artery disease. N Engl J Med. 1973 Aug 9;289(6):327–328. doi: 10.1056/nejm197308092890622. [DOI] [PubMed] [Google Scholar]
  5. Gral T., Thornburg M. Earlobe creases in a cohort of elderly veterans. J Am Geriatr Soc. 1983 Mar;31(3):134–136. doi: 10.1111/j.1532-5415.1983.tb04851.x. [DOI] [PubMed] [Google Scholar]
  6. Jarrett R. J. Atherosclerosis, the ear lobe crease, and chromosome 11. Lancet. 1984 Mar 3;1(8375):513–513. doi: 10.1016/s0140-6736(84)92882-4. [DOI] [PubMed] [Google Scholar]
  7. Jorde L. B., Williams R. R., Hunt S. C. Lack of association of diagonal earlobe crease with other cardiovascular risk factors. West J Med. 1984 Feb;140(2):220–223. [PMC free article] [PubMed] [Google Scholar]
  8. Kaukola S., Manninen V., Valle M., Halonen P. I. Ear-lobe crease and coronary atherosclerosis. Lancet. 1979 Dec 22;2(8156-8157):1377–1377. doi: 10.1016/s0140-6736(79)92868-x. [DOI] [PubMed] [Google Scholar]
  9. Kaukola S. The diagonal ear-lobe crease, heredity and coronary heart disease. Acta Med Scand Suppl. 1982;668:60–63. doi: 10.1111/j.0954-6820.1982.tb08522.x. [DOI] [PubMed] [Google Scholar]
  10. Kristensen B. O. Ear-lobe crease and vascular complications in essential hypertension. Lancet. 1980 Feb 2;1(8162):265–265. doi: 10.1016/s0140-6736(80)90761-8. [DOI] [PubMed] [Google Scholar]
  11. Lichtstein E., Chapman I., Gupta P. K., Chadda K. D., Smith H., Jr, Schwartz I., Naik D. Letter: Diagonal ear-lobe crease and coronary artery sclerosis. Ann Intern Med. 1976 Sep;85(3):337–338. doi: 10.7326/0003-4819-85-3-337. [DOI] [PubMed] [Google Scholar]
  12. Mehta J., Hamby R. I. Letter: Diagonal ear-lobe crease as a coronary risk factor. N Engl J Med. 1974 Aug 1;291(5):260–260. doi: 10.1056/NEJM197408012910519. [DOI] [PubMed] [Google Scholar]
  13. Overfield T., Call E. B. Earlobe type, race, and age: effects on earlobe creasing. J Am Geriatr Soc. 1983 Aug;31(8):479–481. doi: 10.1111/j.1532-5415.1983.tb05121.x. [DOI] [PubMed] [Google Scholar]
  14. Petrakis N. L. Diagonal earlobe creases, type A behavior and the death of Emperor Hadrian. West J Med. 1980 Jan;132(1):87–91. [PMC free article] [PubMed] [Google Scholar]
  15. Rhoads G. G., Klein K., Yano K., Preston H. The earlobe crease--sign of obesity in middle-aged Japanese men. Hawaii Med J. 1977 Mar;36(3):74–77. [PubMed] [Google Scholar]
  16. Wacholder S. Binomial regression in GLIM: estimating risk ratios and risk differences. Am J Epidemiol. 1986 Jan;123(1):174–184. doi: 10.1093/oxfordjournals.aje.a114212. [DOI] [PubMed] [Google Scholar]

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