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Relationship between Earlobe Crease and Anatomical Severity of Coronary Artery Disease in ST-segment Elevation

Ryota Kaichi1, Shoji Kawakami1,2, Yoshio Tahara1

  • 1Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan.

Internal Medicine (Tokyo, Japan)
|February 4, 2024
PubMed

Insights

Earlobe crease (ELC) presence indicates more severe coronary artery disease (CAD) in ST-segment elevation myocardial infarction (STEMI) patients. This finding aids in assessing cardiovascular risk and guiding urgent treatment decisions.

Area of Science:

  • Cardiology
  • Medical Diagnostics

Background:

  • Earlobe crease (ELC) is a potential physical marker for cardiovascular disease.
  • The association between ELC and coronary artery disease (CAD) severity, particularly in ST-segment elevation myocardial infarction (STEMI) patients, remains unclear.

Purpose of the Study:

  • To investigate the relationship between ELC and the anatomical severity of CAD.
  • To utilize the residual SYNTAX score to quantify CAD severity in STEMI patients with and without ELC.

Main Methods:

  • A study involving 219 consecutive STEMI patients, categorized by the presence or absence of ELC.
  • Assessment of CAD severity using the residual SYNTAX score post-percutaneous coronary intervention.

Main Results:

  • Patients with ELC exhibited a significantly higher number of diseased coronary vessels compared to those without ELC.
  • The ELC group had a higher median residual SYNTAX score, indicating more complex CAD.
  • ELC was identified as an independent predictor of the residual SYNTAX score.

Conclusions:

  • ELC is significantly associated with greater anatomical severity of coronary artery disease in STEMI patients.
  • ELC can serve as a valuable clinical sign for assessing CAD severity in emergency settings.

Keywords:
ST-segment elevationearlobe creasemyocardial infarctionresidual SYNTAX score

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