Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 6  |  Page : 1361--1367

Diagonal ear lobe crease: A premonitory diagnostic sign of impeding ischemic heart disease


Himmatrao Saluba Bawaskar1, Parag Himmatrao Bawaskar2, Pramodini Himmatrao Bawaskar1 
1 Bawaskar Hospital and Clinical Research Center, Raigad, Maharashtra, India
2 Department of Cardiology, Topiwala National Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Himmatrao Saluba Bawaskar
Bawaskar Hospital and Clinical Research Center, Mahad, Raigad - 402 301, Maharashtra
India

Introduction: In India, significant number of individuals suffers from ischemic heart disease (IHD). Majority of chest pain victim initially report to his family physician. At times, sudden death is the first and last manifestation of IHD. Doctors are aware of various risk factors for IHD. The diagonal ear lobe crease (DELC) has been characterized in medical literature as a surrogate marker which can be easily identified as high-risk case for impending IHD. We report here the incidence of IHD accompanied with DELC in rural population. Patients and Methods: Eight hindered and eighty eight patients attended to general physician Mahad during January 2012 to December 2015 with complaints of chest pain were investigated for presence of DELC. Presence of DELC was correlated to varies risk factors including hypertension, hyperlipidemia, diabetes mellitus (DM), body mass index (BMI), occipital baldness, and tobacco consumption. Results: Out of patients studied, 645 (72.6%) had hypertension, 508 (57.2%) had DELC, of these 486 (95%) suffered from IHD, 246 (48%) had DM, 246 (48%) had occipital baldness, and 325 (64%) had hyperlipidemia. Significant association between BMI > 25+ in male >50 years old with odd ratio 2.08 (95% CI: 1.27–3.39; P = 0.003). Interpretation: Presence of DELC with or without risk factors is a simple clinical observation easily noted during examination by family physician to investigate and to rule out IHD.


How to cite this article:
Bawaskar HS, Bawaskar PH, Bawaskar PH. Diagonal ear lobe crease: A premonitory diagnostic sign of impeding ischemic heart disease.J Family Med Prim Care 2018;7:1361-1367


How to cite this URL:
Bawaskar HS, Bawaskar PH, Bawaskar PH. Diagonal ear lobe crease: A premonitory diagnostic sign of impeding ischemic heart disease. J Family Med Prim Care [serial online] 2018 [cited 2021 Jun 16 ];7:1361-1367
Available from: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=6;spage=1361;epage=1367;aulast=Bawaskar;type=0