Coronary Risk in Androgenetic Alopecia

    Marcelino Espinoza Tavitas, Martha Lissete Villarreal Morales, María Luisa Peralta Pedrero, Fermín Jurado Santa Cruz
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    TLDR Male pattern baldness is not a risk factor for heart disease based on cholesterol levels alone.
    The study investigated the link between androgenetic alopecia (AGA) in males aged 20 to 47 with vertex pattern hair loss and coronary risk by analyzing serum lipid levels in 34 patients with AGA and 36 controls. The results indicated no significant difference in total cholesterol, LDL, HDL, and triglyceride levels between the two groups, suggesting that AGA is not an independent risk factor for coronary artery disease based on lipid profiles alone. Despite the increased risk of heart disease in AGA patients, the study found that this risk is not solely dependent on cholesterol and triglyceride levels. The study had limitations, including a small sample size and lack of consideration for diet and exercise, which could affect lipid levels. The findings are consistent with a previous study on transgender individuals undergoing testosterone treatment, which also showed no significant change in total cholesterol but variations in HDL and LDL levels. The study recommends evaluating lipid profiles along with other cardiovascular risk factors in AGA patients due to their 48% increased risk of coronary artery disease.
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