title: Association between androgenetic alopecia and coronary artery disease in young male patients.
abstract: BACKGROUND
  Several studies have demonstrated an association between androgenetic alopecia (AGA) and cardiovascular disease. Still controversies exist regarding the association. Are they truly associated?
  
  
  OBJECTIVE
  The purpose of the present study was to assess the prevalence of AGA and establish its association in young (<45 years) Asian Indian Gujarati male patients having coronary artery disease (CAD).
  
  
  METHODS
  Case-control prospective multicentric study was carried out on 424 men. Case group consisted of 212 male subjects having CAD (Group 1) and another 212, either sibling or first degree male relative of the case subjects (having no evidence of CAD) were considered as the control group (Group 2). Age, total cholesterol, incidence of diabetes mellitus, and hypertension were similar in both groups. The degree of alopecia was assessed using the Norwood-Hamilton scale for men. Statistical analysis was performed using Chi-square test.
  
  
  RESULTS
  AGA was found in 80 (37.73%) young CAD patients (Group 1), whereas 44 (20.7%) of patients had alopecia in the control group (Group 2). There was statistically significant association between male AGA and CAD (P = 0.001). Odds ratio was 2.70 (95% confidence interval [CI], 1.72 ± 4.26). Statistically significant association was found between high grade baldness (Grades IV-VII) and CAD in young men (P < 0.05). Odds ratio = 2.36 (95% CI, 1.108 ± 5.033). There is statistically significant association of AGA in young Asian Gujarati male with CAD and the prevalence of AGA in young CAD patient is 37.73%.
  
  
  CONCLUSIONS
  This study implies early onset AGA in male is independently associated with CAD, though mechanisms need to be investigated.
authors.affiliation: Department of Cardiology, U. N. Mehta Institute of Cardiology, B. J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India.
authors.forename: Kamal H
authors.initials: KH
authors.lastname: Sharma
authors.affiliation: Department of Dermatology, Sanjay Gandhi Memorial Hospital, New Delhi, India.
authors.forename: Anchal
authors.initials: A
authors.lastname: Jindal
keywords: Androgenetic alopecia; coronary artery disease; ischemic heart disease
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