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Published on: August 28, 2018
Bilateral diagonal earlobe crease and coronary artery disease: a significant association
Harun Evrengül1, Dursun Dursunoğlu, Asuman Kaftan
1Department of Cardiology, Pamukkale University School of Medicine, Denizli, Turkey. harunevrengul@hotmail.com
Insights
A diagonal earlobe crease (ELC) is linked to coronary artery disease (CAD). This study found bilateral ELC is an independent predictor of CAD, suggesting its use as a diagnostic tool.
Area of Science:
- Cardiology
- Dermatology
- Medical Diagnostics
Background:
- The link between diagonal earlobe crease (ELC) and coronary artery disease (CAD) is debated.
- Further research is needed to clarify this association.
Purpose of the Study:
- To investigate the relationship between bilateral ELC and the presence of CAD.
- To determine if ELC can serve as a diagnostic indicator for CAD.
Main Methods:
- Examined 415 patients for bilateral ELC, CAD via angiography, and coronary risk factors.
- Classified patients into two groups based on CAD presence.
Main Results:
- Bilateral ELC showed a significant positive correlation with CAD, hypertension, age, male gender, smoking, and family history.
- ELC was identified as an independent predictor of CAD.
- Diagnostic values for bilateral ELC in detecting CAD: sensitivity 51.3%, specificity 84.8%, PPV 89.4%, NPV 41.2%.
Conclusions:
- Bilateral ELC is significantly associated with CAD and its risk factors.
- Bilateral ELC is a valuable dermatological marker for CAD.
- ELC may be a useful tool in clinical patient assessment for CAD.
Background:
The association between the presence of diagonal earlobe crease (ELC) and coronary artery disease (CAD) still remains controversial.
Objective:
The aim of this study was to evaluate the association between bilateral ELC and CAD.
Methods:
415 patients were examined for the presence or absence of bilateral ELC, angiographic evidence of CAD and coronary risk factors. The patients were divided into 2 groups according to angiographic evidence of CAD.
Results:
Bilateral ELC was significantly and positively correlated with CAD, hypertension, age, male gender, cigarette smoking and family history of CAD. The ELC was an independent variable for CAD. The observed sensitivity, specificity, positive predictive value and negative predictive value of the bilateral ELC for the diagnosis of CAD were in the following order: 51.3, 84.8, 89.4 and 41.2%.
Conclusion:
The presence of bilateral ELC was significantly associated with CAD and coronary risk factors. The bilateral ELC was an important dermatological indicator of CAD, and it might be a useful diagnostic tool in the clinical examination of patients.
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