HEALTH EDUCATION: Heart attack symptoms – how the shape of your EARS could predict risk

HEALTH EDUCATION: Heart attack symptoms – how the shape of your EARS could predict risk


     Image Active Living Zoomers


HEART attacks are a symptom of coronary heart disease – a health condition which can be caused by smoking, high cholesterol and high blood pressure.


What does the shape of your ears tell about your health?

The shape of our ears, earlobe characteristics and different other ear traits have been proved as authentic revealing concepts. They easily detect about various health problems. You may have seen various articles on it and this one adds to them.

It is all about Frank’s sign on ears which reveals a lot many things about the health of a human body. This sign is highly connected with many of the health problems.

This is Frank’s Sign, named after Doctor Frank.

Frank, a doctor in 1973, discovered and presented the relation between characteristics of the ear and the occurrence of atherosclerosis and cardiovascular diseases.

 An indicator showing risks of heart disease and blood vessels.

Frank’s sign is an indicator showing risks of heart disease
and blood vessels.

To prove this, a study was conducted and a sample of 60 people was taken.

The group was divided into two groups:
Group (A) – with Frank’s sign
Group (B) – without Frank’s sign.


Frank's sign on ears

70% of patients in group (A) having Frank’s character showed a greater risk of cardiovascular disease whereas only 30% patients in Group (B) showed risk for the development of heart disease.

How does ear crease form? And how is it linked to heart disease?

Well, generation of tissue around the blood vessels or changes in blood vessels cause earlobe creases and the studies are conducted continuously to show its linkage with heart disease.

Rare disorders can even cause earlobe crease.

An overgrowth disorder, Beckwith-Wiedemann syndrome and genetic factors like race or earlobe shape can also cause earlobe crease.

Prevention is the way to reduce mortality and disability from cardiovascular disease.

Frank's sign on ears

It’s better to go for the check up to your doctor and have tests like blood pressure, cholesterol levels and other risk factors in an account to monitor the overall health. (

Earlobe Crease And Heart Disease

Earlobe Crease And Heart Disease – Fact Or Myth?

A Brief History: Frank’s Sign

In 1973, a physician called Sanders T. Frank had a letter published in the New England Journal of Medicine describing 20 of his patients with an earlobe crease, who were under 60 years old, with angina (chest pain) and proven coronary artery blockages. This study was the first to describe such a possible association between heart disease and an earlobe crease. However, there was no normal group to compare this to, making it scientifically inconclusive. Since then numerous studies, including those with control groups, have backed up the association. But what does all this mean? When determining associations we need to ask a number of important questions. 1) Does the data support a true association of an earlobe crease and heart disease? 2) If there is an association, is this just due to the fact that the earlobe crease is associated with already established risk factors for heart disease? 3) Is the presence of an earlobe crease independently associated with heart disease? 4) If there is an association, what is the explanation?

Most Medical Studies Show There is an Association

After the initial report in 1973, a number of other reports surfaced. In the 1970’s-1990’s many studies reported the existence of an earlobe crease was more common in those having had a heart attack as compared to those that hadn’t. Some smaller studies have even looked at the predictive significance of an earlobe crease. One study followed 108 people and reported that patients with an earlobe crease were more likely to have cardiac events than those without. This was reinforced by larger studies looking at the same topic.

Autopsy studies have also been conducted to investigate this association. Studies from the UKdemonstrated that those with earlobe creases were almost twice as likely to have coronary disease. A study from Sweden showed similar findings. One recent study of 450 Chinese peopledemonstrated that in those undergoing angiography for the investigation of heart disease, around ½ of those without significant blockages had earlobe crease, whereas ¾ of those with significant blockages had a visible earlobe crease. Another similarly designed study with Turkish participants demonstrated that earlobe crease was associated with risk factors for cardiovascular disease and the presence of coronary artery disease. The association remained, even when accounting for the effects of the risk factors suggesting that earlobe crease was independently associated with heart disease.

It’s important to note there are studies that did not show any association between having an earlobe crease and cardiovascular outcomes or the presence of coronary artery disease. Many of these studies had several hundred patients and showed that the proportion of people withcardiovascular disease was similar in both groups. One of the studies concluded that earlobe crease is more likely with advancing age, and it is in fact age that drives the association.

A True Correlation, Not Just a Chance Finding

It was thought however that the earlobe crease was associated with coronary artery disease only because it was also associated with the presence of other risk factors such as smoking, diabetes, obesity and blood pressure amongst others. Studies then began to emergesuggesting that the presence of earlobe crease was independently associated with the presence of coronary disease.

The largest study to date, and probably the most powerful was reported this year. Almost 11,000 Danish participants were followed for up to 35 years. All participants were free of known coronary artery disease at the beginning of the study. The study found having an earlobe crease was significantly associated with an increased risk of developing clinically significant heart disease. The chance of having a heart attack, or ST-segment elevation myocardial infarction, also rose among the people who had a defined earlobe crease. These associations were found to be independent of other, well-established cardiovascular risk factors.

Was Emperor Hadrian’s Earlobe Crease the Cause of His Demise?

The presence of a diagonal earlobe crease has also been associated with the death of Emperor Hadrian who was believed to die from coronary artery disease and heart failure. It was noted that both the bust of Hadrian in Greek and Italian museums had clear earlobe creases.

Why Would Having an Earlobe Crease be Associated with Heart Disease?

It was initially thought that earlobe creases and heart disease would occur together, as both are supplied by end-arteries without the chance for other arteries to take over blood supply when damage occurred. Some studies suggest that the processes that underlie aging – such as elastic tissue degeneration, microvessel damage and intracellular ageing – are the same that are responsible for the development of earlobe creases. Supporting this is the fact that the earlobe crease is only rarely seen in children. Unfortunately, there is no one convincing mechanism.

Conclusion: What to Make of It All

Taken in conjunction, most of the studies conducted clearly show an association between earlobe creases and heart disease. In fact, most studies – including the larger ones – suggest that this association is true and conclude the association cannot be explained by other risk factors. Unfortunately, although research supports an association as of yet we don’t have a convincing explanation as to why earlobe crease would be associated with heart disease.

The modern day approach to detecting heart disease has likely limited the usefulness of Frank’s sign. Although the earlobe crease may be associated with coronary artery disease (CAD), its sensitivity for detecting this is nowhere near that of stress tests, CT scores, or angiograms. The presence of the earlobe crease may be used to identify those who are at higher risk and should therefore have close attention paid to the presence of risk factors such as blood pressure and cholesterol. If you have an earlobe crease, don’t panic. Instead, adopt a proactive approach to the prevention of coronary heart disease such as a healthy diet, prevention of diabetes, active lifestyle and other measures to prevent the onset and progression of coronary disease. (My Heart Net)

Mustafa Ahmed, MD says

The recent study was one of many studies, that confirmed the association of earlobe crease and heart disease as referenced in the article.

Without getting in to a detailed discussion on statistics, the 9% was actually an adjusted risk, and does not represent the true on the ground risk that is of course much greater. Ultimately the adjusted risk is not as useful in this context. What the adjusted risk attempts to tease out is whether this is an independent risk factor. The logical way to interpret the earlobe crease is as a marker of heart disease, not a cause. A marker that is representative of the multiple underlying risk factors for heart disease. For that reason the much higher unadjusted risk should be used in this setting. So if you have an earlobe crease treat the underlying risk factors as mentioned in the article.

The purpose of the article is not to scare people, but rather to help them take simple measures to address their risk of heart disease. If someone has an earlobe crease it is clearly a marker of risk, so it is worth going and having your risk of heart disease checked and risk factors addressed and this is extremely important in risk reduction.

To the best of my knowledge there are no good studies that systematically examine the effect of eating a single donut a month on risk of heart disease, so i cant comment on that. There are however several good studies that examine the association of earlobe crease and heart disease. (

Image result for earlobes with blood pic

Image Positive Med


Sunday Express:

Heart attack symptoms: Experts have revealed your earlobes could indicate heart disease risk

The condition can be a silent killer, however now experts have found an unusual way of finding if someone is at risk of the condition.

Experts from China have found the presence of diagonal earlobe creases could be linked to increase risk of coronary artery disease.

They found patients with diagonal earlobe creases – called DELCs – on both sides had significantly higher prevalence of coronary artery stenosis.

The diagonal earlobe crease (DELC) is the fold or crease in the skin of the earlobe. It is also known as Frank’s sign.

A study published in the BMJ followed more than 500 adult patients who have had a scan for suspected artery disease.

Heart attack symptoms: Earlobes with a crease – bilateral DELCs Source Sunday Express

The participants – aged between 36 and 91 – had an average age of 63 years.

Their ears were all examined and experts also took into account other risk factors for heart disease.

The team found those with earlobe creases on both sides were at increased risk of coronary heart disease than those with creases on just one side.

However people with just one creased earlobe were found to be at greater risk than those with non-creased ears.

The authors of the study said: “In the present study, bilateral DELCs were more frequently among male, older people and those with more severe coronary artery atherosclerosis.”

Heart attack symptoms: DELCs were more frequently found among male, older people

They concluded: “The results of the present study indicated that DELCs are a simple and a feasible means of identifying CHD.

“However, the exact mechanism underlying the relationship between DELCs and CHD warrants further study.”

Experts said the presence of DELC were significantly associated with coronary artery disease independent of traditional cardiac risk factors.

However, they admitted more research into the topic is needed.

The researchers took cigarette smoking – which is linked to increased risk of heart disease, blood pressure measurements and cholesterol into consideration.

High cholesterol and high blood pressure are also linked to increased risk of heart disease and heart attacks.

Experts have previously suggested the condition could be linked to impaired circulation.

However, others have also suggested the creases could also be caused by other factors, including genetics.

A heart attack is a serious medical emergency in which the supply of blood to the heart is suddenly blocked, usually by a blood clot.

Coronary artery disease is a blockage or narrowing – stenosis – of the arteries that supply blood to the heart muscle, often due to a buildup of fatty plaque inside the arteries. A severe enough blockage may cause a heart attack.

The study was entitled relationship between diagonal earlobe creases and coronary artery disease as determined via angiography. (Sunday Express)




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