Do Ear Creases Indicate Cardiovascular Issues? Debunking the Myth - Cardiology

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Are ear lobe creases indicative of cardiovascular issues?


Hello, doctor.
I have some questions regarding this topic.
I have seen many medical websites and health blogs stating that ear creases indicate cardiovascular issues, but I have also seen the government health department and some physicians debunking this claim, stating there is no correlation.
For example, my father has ear creases, but his heart examination revealed only mild mitral valve prolapse and a slightly slower heart rate than normal, with no other issues.
I would like to ask the doctor about this matter.
Thank you.

Lkk, 30~39 year old female. Ask Date: 2020/04/25

Dr. He Dongjin reply Cardiology


Hello, please take online information with a grain of salt and don't take it too seriously.
Changhua Hospital cares about you.

Reply Date: 2020/04/25

More Info


The notion that ear creases, particularly the presence of a diagonal line or "Frank's sign," can indicate cardiovascular issues has been a topic of debate in the medical community. While some studies suggest a correlation between ear creases and an increased risk of coronary artery disease (CAD), it is essential to approach this claim with caution and consider the broader context of cardiovascular health.

Ear creases are often described as a sign of aging, and their presence can be attributed to various factors, including genetic predisposition, skin elasticity, and environmental influences. The theory linking ear creases to cardiovascular disease stems from the observation that individuals with certain types of ear creases may have a higher prevalence of atherosclerosis, which is the buildup of plaques in the arteries that can lead to heart disease. However, it is crucial to note that correlation does not imply causation. Just because two conditions are observed together does not mean one causes the other.

In your father's case, the presence of a slight mitral valve prolapse and a slower heart rate does not necessarily correlate with the presence of ear creases. Mitral valve prolapse is a common condition that can occur in otherwise healthy individuals and may not lead to significant health issues. Furthermore, a slower heart rate, or bradycardia, can be benign, especially in well-conditioned athletes or individuals with a high level of fitness.

To debunk the myth surrounding ear creases and cardiovascular issues, it is essential to consider the following points:
1. Lack of Definitive Evidence: While some studies have suggested a link between ear creases and cardiovascular disease, the evidence is not robust enough to establish a direct cause-and-effect relationship. Many individuals with ear creases do not have heart disease, and many with heart disease do not have ear creases.

2. Comprehensive Risk Assessment: Cardiovascular health should be assessed through a comprehensive evaluation of risk factors, including family history, lifestyle choices (such as smoking, diet, and exercise), and clinical assessments (like blood pressure, cholesterol levels, and imaging studies). Relying solely on the presence of ear creases can lead to unnecessary anxiety and misinterpretation of one's health status.

3. Individual Variability: Each person's body is unique, and variations in physical features, including ear shape and creases, can occur without any underlying health implications. Genetics plays a significant role in these variations, and it is essential to consider individual health profiles rather than generalize based on a single physical characteristic.

4. Consultation with Healthcare Professionals: If there are concerns about cardiovascular health, it is always best to consult with a healthcare professional who can provide personalized advice based on a thorough evaluation. This may include diagnostic tests such as echocardiograms, stress tests, or coronary angiography if indicated.

In conclusion, while the presence of ear creases may be an interesting observation, it should not be used as a standalone indicator of cardiovascular health. A holistic approach to assessing heart health, considering multiple risk factors and clinical evaluations, is crucial for accurate diagnosis and management. If you or your family members have concerns about heart health, it is advisable to seek guidance from a qualified healthcare provider who can offer tailored recommendations based on individual circumstances.

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