{"id":1207,"date":"2022-02-03T21:05:35","date_gmt":"2022-02-03T21:05:35","guid":{"rendered":"https:\/\/drstewart.com\/?p=1207"},"modified":"2022-02-15T17:12:59","modified_gmt":"2022-02-15T17:12:59","slug":"what-is-franks-sign","status":"publish","type":"post","link":"https:\/\/drstewart.com\/2022\/02\/what-is-franks-sign\/","title":{"rendered":"What is Frank&#8217;s Sign?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1207\" class=\"elementor elementor-1207\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-878c79a elementor-section-height-min-height gradient-image elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"878c79a\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-931010e\" data-id=\"931010e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c95729b elementor-widget elementor-widget-heading\" data-id=\"c95729b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.3 - 12-04-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h1 class=\"elementor-heading-title elementor-size-default\">What is Frank's Sign?<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aeda5be elementor-widget elementor-widget-text-editor\" data-id=\"aeda5be\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.3 - 12-04-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><strong>Dr. Allan Stewart discusses &#8220;Frank&#8217;s sign&#8221; and what it is.<\/strong> The sign is named after Sanders T. Frank. It has been hypothesised that Frank&#8217;s sign is indicative of cardiovascular disease and\/or diabetes.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6bd0a01\" data-id=\"6bd0a01\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c0604eb elementor-widget elementor-widget-image\" data-id=\"c0604eb\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.3 - 12-04-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/drstewart.com\/wp-content\/uploads\/2022\/02\/akara-yoth-tat-fYKz_ePcFvA-unsplash-1024x683.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/drstewart.com\/wp-content\/uploads\/2022\/02\/akara-yoth-tat-fYKz_ePcFvA-unsplash-1024x683.jpg 1024w, https:\/\/drstewart.com\/wp-content\/uploads\/2022\/02\/akara-yoth-tat-fYKz_ePcFvA-unsplash-300x200.jpg 300w, https:\/\/drstewart.com\/wp-content\/uploads\/2022\/02\/akara-yoth-tat-fYKz_ePcFvA-unsplash-768x512.jpg 768w, https:\/\/drstewart.com\/wp-content\/uploads\/2022\/02\/akara-yoth-tat-fYKz_ePcFvA-unsplash-1536x1024.jpg 1536w, https:\/\/drstewart.com\/wp-content\/uploads\/2022\/02\/akara-yoth-tat-fYKz_ePcFvA-unsplash-2048x1365.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b02d7d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b02d7d6\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-custom\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-efe5ea0\" data-id=\"efe5ea0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8655762 elementor-widget elementor-widget-heading\" data-id=\"8655762\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is Frank's Sign?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f29184 elementor-mobile-align-left elementor-icon-list--layout-inline elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"5f29184\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/drstewart.com\/wp-content\/plugins\/elementor\/assets\/css\/widget-icon-list.min.css\">\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-user-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Dr. Allan Stewart<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-calendar-alt\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">February 3, 2022<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-clock\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">2:30 pm<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a5ed26 elementor-widget elementor-widget-spacer\" data-id=\"8a5ed26\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.3 - 12-04-2022 *\/\n.e-container.e-container--row .elementor-spacer-inner{width:var(--spacer-size)}.e-container.e-container--column .elementor-spacer-inner,.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bca1809 elementor-widget elementor-widget-text-editor\" data-id=\"bca1809\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>I was at an event yesterday, and someone asked me what I thought about \u201cFrank&#8217;s sign.\u201d Truthfully, I had no idea what \u201cFranks sign\u201d was! I decided to take a novel approach for an adult, in today\u2019s world. I stated: \u201cI have never heard of Franks&#8217;s sign\u201d? I was then informed it is also known as Diagonal Earlobe Crease or DELC and its presence may indicate a risk for coronary artery disease, peripheral vascular disease, and\/or cerebral vascular disease. \u201cWow,\u201d I said out loud and then scanned the room for someone with a wrinkled earlobe. Once home I read what I could find about DELC and learned that it was an observation made, by a physician named, (unsurprisingly) Dr. Frank, in 20 patients presenting with chest pain. There are a few unsubstantiated hypotheses about the significance of this sign as a predictor of significant arterial disease. After reading what was available, I began to ponder what to do with this new information.<\/p><p>Should I stratify diet and medication recommendations to patients based upon the presence or absence of DELC? Should patients be concerned if they have, or perhaps, more importantly, develop an earlobe crease? The truth is that doctors use many visual cues to make a diagnosis of disease and make treatment recommendations. This, relatively new cue, may become a reliable indicator but the data is not convincing yet to make lifestyle or treatment decisions, based on its presence or absence.<\/p><p>Coronary disease is still disparately present in American adults. Since February has been deemed \u201cheart month\u201d by the American Heart Association, it is worth briefly discussing the signs of significant arterial vascular disease, aside from that described by Dr. Frank. Men and women have different presentations of significant coronary artery disease. Men typically feel what is classically described as a \u201cheart attack\u201d. The main symptom is chest pressure, described as \u201can elephant sitting on my chest\u201d that typically involves the left arm being \u201cheavy, numb, or painful\u201d. However, particularly in diabetic patients, there may be no pain at all due to nerve damage. Equivalent symptoms may include nausea, shortness of breath, or fatigue. Women, on the other hand, may present without the classic \u201cheart attack\u201d symptoms. They are more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea\/vomiting, and back or jaw pain Awareness of these differences are important, as men still have more heart attacks than women, but women have more fatal heart attacks than men, likely because they tend to ignore their symptoms.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-134c314 elementor-widget elementor-widget-spacer\" data-id=\"134c314\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-430307d elementor-widget elementor-widget-heading\" data-id=\"430307d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div 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class=\"elementor-share-btn elementor-share-btn_reddit\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fab fa-reddit\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t\t<span\n\t\t\t\t\t\t\t\t\tclass=\"elementor-screen-only\">Share on reddit<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tReddit\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_whatsapp\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fab fa-whatsapp\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t\t<span\n\t\t\t\t\t\t\t\t\tclass=\"elementor-screen-only\">Share on whatsapp<\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\tWhatsApp\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>What is Frank&#8217;s Sign? Dr. Allan Stewart discusses &#8220;Frank&#8217;s sign&#8221; and what it is. The sign is named after Sanders T. Frank. It has been hypothesised that Frank&#8217;s sign is indicative of cardiovascular disease and\/or diabetes. What is Frank&#8217;s Sign? Dr. Allan Stewart February 3, 2022 2:30 pm I was at an event yesterday, and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1210,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_theme","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.13 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is Frank&#039;s Sign? | Dr. Allan Stewart | Cardiac Surgeon in Miami, Florida<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drstewart.com\/2022\/02\/what-is-franks-sign\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is Frank&#039;s Sign? | Dr. Allan Stewart | Cardiac Surgeon in Miami, Florida\" \/>\n<meta property=\"og:description\" content=\"What is Frank&#8217;s Sign? Dr. Allan Stewart discusses &#8220;Frank&#8217;s sign&#8221; and what it is. The sign is named after Sanders T. Frank. It has been hypothesised that Frank&#8217;s sign is indicative of cardiovascular disease and\/or diabetes. What is Frank&#8217;s Sign? 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