Evidence map›Paper›PMID 36635731›Full record

ArticleCardiovascular diabetology2023

Triglyceride glucose index is associated with obstructive coronary artery disease in hypertensive patients.

Weili Pan, Yongkui Ren, Fan Yang, Minxian Wang, Xinsheng Li, Da Yin

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Weili PanDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Yongkui RenDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Fan YangDepartment of Cardiology, the Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning, China.
Minxian WangDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Xinsheng LiDepartment of Cardiology, the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Da YinDepartment of Cardiology, Shenzhen People's Hospital, 2nd Clinical Medical College of JINAN University, 1st Affiliated Hospital of the Southern University of Science and Technology. No. 1017 Dongmen North Road, Luohu District, Shenzhen, China. dlyinda@hotmail.com.
First Affiliated Hospital of Dalian Medical University · CNAffiliated Zhongshan Hospital of Dalian University · CNDalian Medical University · CNSouthern University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension is a leading risk of coronary artery disease (CAD). Triglyceride glucose index (TyG) is a surrogate of insulin resistance (IR). Few studies explore the association between TyG and the incidence of obstructive CAD (OCAD) in hypertensive patients.

methodsWe retrospectively screened 1841 hypertensive subjects who were free of a history of CAD and underwent coronary computed tomography angiography (CCTA) because of chest pain. TyG index was calculated as ln (fasting TG [mg/dL] * fasting glucose [mg/dL]/2). The outcome of this research was OCAD, which was defined as the presence of diameter stenosis ≥ 50% in any of the four major epicardial coronary arteries detected on CCTA.

resultsA total of 310 (16.8%) patients developed obstructive CAD. The restricted cubic spline (RCS) analysis showed a J-shaped relationship between TyG and OCAD and the OR for OCAD increased as the TyG rose over 8.61 (OR perSD) 1.64, 95% CI 1.13-2.54, p = 0.008). After full adjustments for confounding covariates, patients with TyG index in tertile 3 (T3) had 2.12 times (95% CI 1.80 to 3.81) and in T2 had 2.01 times (95% CI 1.40 to 2.88) as high as the risk of OCAD compared with patients in T1 (p for trend = 0.001). When regarding TyG as a continuous variable, 1-SD increase elevated 49% (OR (95%CI), 1.49 (1.30-1.74)) risk of obstructive CAD (p = 0.007). This positive effect was still consistent across the subgroups (p for interaction > 0.05).

conclusionTyG index was associated with the incidence of obstructive CAD in hypertensive patients.

Indexed as

Coronary Artery DiseaseHypertensionBiomarkersBlood GlucoseGlucoseHumansRetrospective StudiesRisk FactorsTriglyceridesBiomarkersBlood GlucoseGlucoseTriglyceridesHypertensive patientsObstructive CADTyG index

Identifiers

PMID36635731
PMCPMC9838016
OpenAlexW4315705494

What OpenQuestion holds

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Registered trials

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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.