Evidence map›Paper›PMID 34689767›Full record

Observational studyLipids in health and disease2021

Association between the triglyceride glucose index and coronary collateralization in coronary artery disease patients with chronic total occlusion lesions.

Ang Gao, Jinxing Liu, Chengping Hu, Yan Liu, Yong Zhu, Hongya Han, Yujie Zhou, Yingxin Zhao

Abstract readObservational Study
In one paragraph

Observational study in Lipids in health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ang GaoDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China.
Jinxing LiuDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China.
Chengping HuDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China.
Yan LiuDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China.
Yong ZhuDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China.
Hongya HanDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China.
Yujie ZhouDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China.
Yingxin ZhaoDepartment of cardiology, Beijing AnZhen Hospital, Capital Medical University, 100029, Beijing, China. zyingxinmi@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies have substantiated the role of the triglyceride glucose (TyG) index in predicting the prognosis of coronary artery disease (CAD) patients, while no relevant studies have revealed the association between the TyG index and coronary collateralization in the event of coronary chronic total occlusion (CTO). The current study intends to explore whether, or to what extent, the TyG index is associated with impaired collateralization in CAD patients with CTO lesions.

methodsThe study enrolled 1093 CAD patients undergoing cardiac catheterization for at least one CTO lesion. Data were collected from the Beijing Anzhen Hospital record system. The degree of collaterals was determined according to the Rentrop classification system. The correlation between the TyG index and coronary collateralization was assessed.

resultsOverall, 318 patients were included in a less developed collateralization (Rentrop classification 0-1) group. The TyG index was significantly higher in patients with impaired collateralization (9.3±0.65 vs. 8.8±0.53, P<0.001). After adjusting for various confounding factors, the TyG index remained correlated with the occurrence of impaired collateralization, with odds ratios (ORs) of 1.59 and 5.72 in the T2 and T3 group compared with the first tertile group (P<0.001). In addition, subgroup analysis showed that higher TyG index values remained strongly associated with increased risk of less developed collateralization. To compare the risk assessment efficacy for the formation of collateralization between the TyG index and other metabolic abnormality indicators, an area under the receiver-operating characteristic (ROC) curve (AUC) was obtained. A significant improvement in the risk assessment performance for impaired collateralization emerged when adding the TyG index into a baseline model.

conclusionsThe increased TyG index is strongly associated with less developed collateralization in CAD patients with CTO lesions and its risk assessment performance is better than single metabolic abnormality indicators.

Indexed as

Collateral CirculationBlood GlucoseCoronary Artery DiseaseCoronary OcclusionFemaleHumansMaleMiddle AgedPrognosisRisk FactorsTriglyceridesBlood GlucoseTriglyceridesChronic total occlusionCoronary collateralizationInsulin resistanceTriglyceride glucose index

Identifiers

PMID34689767
PMCPMC8543811

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.