Forensic Pathology Unit, Royal Darwin Hospital, Tiwi, Australia.
Capital and Coast District Health Board, Wellington, New Zealand.
Am J Forensic Med Pathol. 2021 Jun 1;42(2):155-159. doi: 10.1097/PAF.0000000000000661.
The association between earlobe crease(s) and coronary artery atherosclerosis has stimulated debate and controversy over the years. Most available published studies have been conducted on living patients. Although these studies offer valuable insight into such associations in patients who exhibit symptoms, no information is available from these studies on the prevalence of earlobe creases among an asymptomatic population. Postmortem studies offer the advantage of including individuals free of symptomatic cardiovascular disease, thus providing an inbuilt control group. The atherosclerotic pathological findings of 1298 individuals who underwent coronial postmortem examination at Wellington Regional Hospital, New Zealand, between 2006 and 2013 were retrospectively studied. Earlobe creases and atherosclerosis involving the coronary arteries were semiquantitatively appraised. The presence of an earlobe crease was found to be significantly associated with coronary artery atherosclerosis.
多年来，耳垂折痕与冠状动脉粥样硬化之间的关联一直引发着争论和争议。大多数现有的已发表研究都是针对存活患者进行的。尽管这些研究为有症状患者中存在的这些关联提供了有价值的见解，但这些研究并未提供无症状人群中耳垂折痕的患病率信息。尸检研究具有包含无症状心血管疾病个体的优势，从而提供了内在的对照组。对 2006 年至 2013 年间在新西兰惠灵顿地区医院进行冠状动脉尸检的 1298 个人的动脉粥样硬化病理学发现进行了回顾性研究。对半定量评估了耳垂折痕和涉及冠状动脉的动脉粥样硬化。发现耳垂折痕的存在与冠状动脉粥样硬化显著相关。
