Earlobe crease and atherosclerosis. An autopsy study
Insights
Earlobe crease (ELC) is a significant external marker for atherosclerosis. Deeper creases correlate with more severe coronary and aortic atherosclerosis, suggesting a link to risk factors like high cholesterol.
Area of Science:
- Cardiovascular Pathology
- Dermatology
- Biomarkers
Background:
- Atherosclerosis is a leading cause of cardiovascular disease.
- Identifying reliable external markers for atherosclerosis can aid in risk assessment.
- Earlobe crease (ELC) has been anecdotally linked to cardiovascular health.
Purpose of the Study:
- To investigate the association between ELC and the extent of coronary and aortic atherosclerosis.
- To determine if ELC is an independent predictor of atherosclerosis.
- To explore the relationship between ELC, atherosclerosis, and risk factors like total cholesterol (TC) and blood pressure.
Main Methods:
- Study included 100 autopsied men aged 50-79, free of known vascular disease.
- ELC was graded (1-3) based on depth and length.
- Atherosclerosis severity in coronary arteries and aortas was visually graded.
- Blood pressure and serum total cholesterol (TC) levels were recorded.
Main Results:
- Coronary atherosclerosis was significantly more severe in individuals with higher ELC grades (group 3).
- Aortic atherosclerosis was significantly greater in group 3 compared to groups 1 and 2.
- Higher ELC grades correlated with higher TC levels, except in the sixth decade.
- Multivariate analysis showed ELC degree depended on atherosclerosis extent and vice versa, independent of age.
Conclusions:
- ELC serves as a significant external marker for atherosclerosis.
- ELC may indicate a persistent overload of atherosclerosis risk factors, such as TC.
- The findings suggest ELC can be a valuable, non-invasive indicator in cardiovascular risk assessment.
Abstract:
The association between earlobe crease (ELC) and coronary and aortic atherosclerosis in 100 autopsied men ranging in age from 50 to 79 years, who died free of vascular diseases or related conditions, was studied in conjunction with blood pressure and serum total cholesterol (TC) levels. Earlobe crease was graded and defined as groups 1, 2, and 3 according to the depth and length in both ears. The extent of atherosclerosis in the coronary arteries and aortas was visually graded. Coronary atherosclerosis was significantly more severe in group 3 in all the decades examined than in groups 1 or 2. Aortic atherosclerosis in group 3 was significantly greater than in group 1 in all the decades examined, and was greater than in group 2 in the seventh and eighth decades. The TC level was significantly higher in group 3 than in groups 1 or 2 except in the sixth decade. Multivariate regression analyses demonstrated that the degree of ELC was dependent on the extent of coronary and aortic atherosclerosis, but was independent of age. Conversely, the extent of coronary atherosclerosis was dependent on the degree of ELC, but was independent of age. The extent of aortic atherosclerosis was, however, dependent not only on the appearance of ELC and TC, but on age. It is thus concluded that ELC provides a significant external marker for atherosclerosis and may reflect a persistent overload of atherosclerosis risk factors, such as TC.
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Acute Coronary Syndrome III: Diagnostic Studies
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Atherosclerosis II: Clinical Manifestations and Diagnostic Tests


