A recent study has potentially identified another risk factor for coronary disease, that of male pattern baldness (androgenetic alopecia).The authors conclude that vertex baldness is associated with an increased risk of coronary heart disease and the strength of this association is dependent on the severity of baldness. This association appears to hold true for younger patients. It should prompt careful evaluation of other cardiovascular risk factors but to what extent it should modify established cardiovascular risk scores is unclear until further evidence is available.