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Old 05-28-2017, 02:32 PM
aceplace57 aceplace57 is offline
Join Date: Oct 2009
Location: CentralArkansas
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Frank's Sign - hypertension, heart disease, and stroke

New England Journal of Medicine.

You may want to grab a mirror. It's a easily identifiable marker of your future health.

I didn't realize George Bush has the crease on his ear. That may be why he's so dedicated to exercise. Bush is a serious mountain biker.
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, 

Last edited by aceplace57; 05-28-2017 at 02:33 PM.
Old 05-28-2017, 02:55 PM
aceplace57 aceplace57 is offline
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Location: CentralArkansas
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I checked my ears. It's easier to snap a shot with a phone.

I got Frank's sign.

Thankfully I had a full heart workup 15 months ago prior to surgery. Wore a monitor for 3 days and a stress test.
Old 05-28-2017, 03:05 PM
aceplace57 aceplace57 is offline
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Location: CentralArkansas
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I talked with my mom. She was a nurse anesthetist for forty years. She is very familiar with it. Most older people will eventually develop Frank's Sign. She has it now. My dad had it by the time he was forty.

It can be an early indicator in younger people. One of the articles mentions it's not as useful in people over 60.

Last edited by aceplace57; 05-28-2017 at 03:08 PM.
Old 05-28-2017, 04:00 PM
Wesley Clark Wesley Clark is offline
Join Date: Aug 2003
Posts: 19,207
I didn't want to live to 80 anyway.

Last edited by Wesley Clark; 05-28-2017 at 04:02 PM.
Old 05-28-2017, 04:28 PM
aceplace57 aceplace57 is offline
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Location: CentralArkansas
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It never hurts to be aware of a potential health problem.

I started checking my BP at home several years ago.

Heart disease runs in my mom's family . Lost several close family members.
Old 05-28-2017, 04:58 PM
Mudshark Mudshark is offline
Join Date: Jul 2001
Location: New Middletown, Ohio
Posts: 5,825
I have a crease, and have hypertension, tachycardia and a family history of heart problems.

The only way I found out was playing around with my grandmother's blood pressure cuff. Said 193/117, and pulse was 124.
Old 05-28-2017, 05:03 PM
mikecurtis mikecurtis is online now
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Location: chicago
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Unca Cece wrote about it in 2009!

Old 05-28-2017, 10:00 PM
GrumpyBunny GrumpyBunny is offline
Join Date: Jul 2014
Location: behind the sofa
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No Frank's sign here. My family tends to live a long time so long as we don't smoke cigarettes or drink to excess.

Though come to think of it, my dad is a 75 y/o Viet Nam vet with Agent Orange exposure and adult-onset asthma, who has smoked forever, and was a volunteer firefighter besides. He's doing well, to be honest. No hypertension -- actually low blood pressure. Some people are just tough, I think.

Yeah, my family has autoimmune problems and some really bizarre allergies (who's allergic to turkey? My cousin.), but the hearts work fine. Go figure.
Old 05-28-2017, 10:37 PM
bump bump is offline
Join Date: Jun 2000
Location: Dallas, TX
Posts: 15,141
I do not have Frank's Sign, although I do have hypertension, albeit well controlled by medication.

My family tends to be pretty long-lived, if we don't smoke and take our BP meds. If I was a woman and do not smoke, chances are I'd be living into my 90s- grandmother and a couple of great aunts made it into their 90s, and another grandmother made it into her early 80s, despite having been an insulin-dependent diabetic for the last 30 years of her life, AND smoking 2 packs a day until she was 70. I can't help but think she'd have made it closer to 90 without the smoking.
Old 05-29-2017, 01:35 AM
Mudshark Mudshark is offline
Join Date: Jul 2001
Location: New Middletown, Ohio
Posts: 5,825
I should add that we are pretty well long lived. We may need open heart surgery multiple times, but we live pretty long. Late 80's to early 90's.
Old 06-01-2017, 04:30 PM
CairoCarol CairoCarol is offline
Join Date: Mar 2005
Location: Indonesia and Hawaii
Posts: 4,422
I have Frank's Sign but compared to the Google images pics, mine is quite minor. It also seems like it is at least in part due to years of dragging my earlobes down with earrings, since the crease goes directly through my ear piercing, and is much more visible if I wear dangling/heavy earrings.

Anyway, I have a cardiologist (because I had to get checked out to make sure I was in good enough shape for general anesthesia when I had my cataract surgery) who wants to keep up with me every 1-2 years because I have 4 leaky heart valves (3 minor, 1 moderate). But he seems to think I'm fine, and in particular noted that there has been no change in the degree of leakiness over the past few years.

So I'm good. But I wish I didn't have it. I try not to think about it much, because really, what difference does it make to me at age 58? I exercise, don't smoke, am not overweight, and generally try to lead a pretty healthy lifestyle, which is what I'd be doing with or without the crease.


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