Male Pattern Baldness and Coronary Heart Disease

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Abstract
EPIDEMIOLOGIC studies examining male pattern baldness (MPB) and coronary heart disease (CHD) have tended to support a positive association.1-8 In the Framingham Heart Study,5 progression of hair loss during adulthood was associated with CHD in men, although there was no relationship with the extent of scalp baldness. In the First National Health and Nutrition Examination Survey (NHANES I),6 an association was observed between severe baldness and CHD mortality in men younger than 55 years, but not among older men. In a case-control study, vertex baldness was associated with myocardial infarction (MI) among men younger than 55 years but frontal baldness was not.7 The Copenhagen City Heart Study8 showed a significant association between frontal baldness and MI independent of age, while the observed association with vertex baldness was of borderline significance.