Is Baldness Bad for the Heart?

The document reviewed literature on the potential link between male pattern baldness and coronary heart disease, citing studies like the one by Lesko et al. in 1993, which found a threefold increased risk of coronary events in men under 55 with vertex alopecia, and the Physician Heart Study from 2000 with 22,071 male physicians that also found an elevated coronary risk for patients with vertex alopecia. However, it pointed out methodological flaws such as non-blinded data collection, recall bias, and survivorship bias in these studies, which undermine the reliability of the conclusions. The authors concluded that while there may be a correlation between alopecia and coronary disease, the evidence is not strong enough to change clinical practice or to consider baldness as a primary risk factor for heart disease.