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Published on: January 28, 2020
Association of male pattern baldness with angiographic coronary artery disease severity and collateral development
I Sari1, K Aykent, V Davutoglu
1Department of Cardiology, School of Medicine, Marmara University, Istanbul, Turkey, drisari@yahoo.com.
Insights
Male pattern baldness is not associated with coronary artery disease (CAD) severity or collateral development. Age, BMI, and smoking independently predict high Gensini scores, not baldness.
Area of Science:
- Cardiology
- Dermatology
- Epidemiology
Background:
- Male pattern baldness is common, and its potential association with cardiovascular health requires investigation.
- Previous research has not explored the link between baldness and coronary artery disease (CAD) severity or collateralization.
Purpose of the Study:
- To determine if there is an association between male pattern baldness and the severity of angiographic coronary artery disease (CAD).
- To investigate the relationship between male pattern baldness and coronary collateral development.
Main Methods:
- Prospective evaluation of 511 male patients, including coronary arteriograms, CAD risk factors, and baldness classification.
- CAD severity assessed using the Gensini scoring system; collateral development evaluated with Rentrop scores.
Main Results:
- While baldness was more frequent in patients with higher Gensini scores, these patients were also older.
- Univariate analysis identified age (>60), BMI (>30), smoking, and baldness as predictors of high Gensini scores.
- Multivariate analysis revealed only age (>60), BMI (>30), and smoking as independent predictors of high Gensini scores; no association found with collateral development.
Conclusions:
- No significant relationship was found between the presence, severity, or age of onset of male pattern baldness and measures of CAD severity (Gensini score) or collateralization (Rentrop scores).
Objective:
We aimed to investigate whether there is an association between male pattern baldness and angiographic coronary artery disease (CAD) severity and collateral development, which has not been reported previously.
Methods:
Coronary arteriograms, CAD risk factors, lipid parameters and presence and severity of baldness in 511 male patients were prospectively evaluated. Baldness was classified into five groups. Severity of CAD was evaluated with the Gensini scoring system and collateral development with Rentrop scores.
Results:
Although subjects with a higher Gensini score had more frequent and severe baldness, they were older than the group with lower Gensini scores. Bald patients had a higher Gensini score when compared with their non-bald counterparts. In univariate analysis, age more than 60, body mass index more than 30, smoking and baldness were predictors of high Gensini scores. In multivariate analysis, only age more than 60, body mass index more than 30 and smoking were independent predictors of a high Gensini score. There were no differences in terms of presence and severity of baldness in subjects with and without adequate collateral development.
Conclusions:
There was no relation between presence, severity and age of occurrence of male pattern baldness and Gensini and Rentrop scores, which are important measures of presence and severity of CAD.
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