title: Severity of Alopecia Predicts Coronary Changes and Arterial Stiffness in Untreated Hypertensive Men.
abstract: An association between androgenic alopecia (AGA), coronary artery disease, and hypertension has been reported in previous epidemiological studies. The authors evaluated the relationship of target organ damage caused by hypertension with AGA in 101 newly diagnosed and untreated hypertension men with mild to moderate AGA (AGAm), severe AGA (AGAs), and non-AGA. Pulse wave velocity (PWV), office and 24-hour pulse pressure (PP), carotid intima-media thickness (IMT), left ventricular hypertrophy (LVH), coronary flow reserve (CFRd), and AGA severity by Hamilton-Norwood scale were estimated. CFRd was significantly impaired in AGAspatients compared with AGAm(P=.007) and non-AGA patients (P=.02). No differences were found within groups regarding PWV, PP, IMT, and LVH. AGA severity was related to CFRd (independently) and PP while AGA duration and age of onset were related to CFRd and PP, respectively. The authors conclude that impaired coronary microcirculation and aortic stiffness might precede the appearance of significant stenotic coronary lesions in hypertensive patients with severe AGA. In addition, hypertensive patients with severe and early AGA onset seem to be exposed to an augmented cardiovascular risk.
authors.affiliation: 2nd Department of Cardiology Medical School, Attikon Hospital, University of Athens, Athens, Greece.
authors.forename: Helen
authors.initials: H
authors.lastname: Triantafyllidi
authors.affiliation: 2nd Department of Cardiology Medical School, Attikon Hospital, University of Athens, Athens, Greece.
authors.forename: Agis
authors.initials: A
authors.lastname: Grafakos
authors.affiliation: 2nd Department of Cardiology Medical School, Attikon Hospital, University of Athens, Athens, Greece.
authors.forename: Ignatios
authors.initials: I
authors.lastname: Ikonomidis
authors.affiliation: 2nd Department of Cardiology Medical School, Attikon Hospital, University of Athens, Athens, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Pavlidis
authors.affiliation: 2nd Department of Cardiology Medical School, Attikon Hospital, University of Athens, Athens, Greece.
authors.forename: Paraskevi
authors.initials: P
authors.lastname: Trivilou
authors.affiliation: 2nd Department of Cardiology Medical School, Attikon Hospital, University of Athens, Athens, Greece.
authors.forename: Antonis
authors.initials: A
authors.lastname: Schoinas
authors.affiliation: 2nd Department of Cardiology Medical School, Attikon Hospital, University of Athens, Athens, Greece.
authors.forename: John
authors.initials: J
authors.lastname: Lekakis
mesh_terms: D000328:Adult; D000505:Alopecia / Q000150:complications / Q000473:pathology*; D059168:Carotid Intima-Media Thickness; D023921:Coronary Stenosis / Q000503:physiopathology*; D000075222:Essential Hypertension; D006801:Humans; D006973:Hypertension / Q000150:complications*; D017379:Hypertrophy, Left Ventricular / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D063177:Pulse Wave Analysis; D012307:Risk Factors; D059289:Vascular Stiffness