Evidence map›Paper›PMID 38254088›Full record

ArticleCardiovascular diabetology2024

The relationship between triglyceride-glucose index and prospective key clinical outcomes in patients hospitalised for coronary artery disease.

Benchuan Hao, Lyu Lyu, Juan Xu, Xiaoqing Zhu, Cui Xu, Weiyang Gao, Ji Qin, Taoke Huang, Yipu Ding, Ziyue Zhang and 2 more

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

17 citing papers in PubMed.

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  15. [A ssociations of short-term ambient particulate matter exposure andBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
    Article
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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

12 authors.

Benchuan Hao *Department of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Lyu Lyu *Department of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Juan Xu *Department of General Surgery, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China.
Xiaoqing Zhu *Medical School of Chinese PLA, Beijing, China.
Cui XuDepartment of Medical Administration, The 305 Hospital of PLA, Beijing, China.
Weiyang GaoDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Ji QinDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Taoke HuangDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Yipu DingDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Ziyue ZhangOutpatient Department, Hospital of PLA, Hanzhong, China.
Yanhui YangDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China. aliceedu@163.com.
Hongbin LiuDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China. liuhbcad301@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe triglyceride-glucose (TyG) index is regarded as a dependable alternative for assessing insulin resistance (IR), given its simplicity, cost-effectiveness, and strong correlation with IR. The relationship between the TyG index and adverse outcomes in patients with coronary heart disease (CHD) is not well established. This study examines the association of the TyG index with long-term adverse outcomes in hospitalized CHD patients.

methodsIn this single-center prospective cohort study, 3321 patients hospitalized with CHD were included. Multivariate Cox regression models were employed to assess the associations between the TyG index and the incidence of all-cause mortality and major adverse cardiovascular events (MACEs). To examine potential nonlinear associations, restricted cubic splines and threshold analysis were utilized.

resultsDuring a follow-up period of 9.4 years, 759 patients (22.9%) succumbed to mortality, while 1291 (38.9%) experienced MACEs. Threshold analysis demonstrated a significant "U"-shaped nonlinear relationship with MACEs, with different hazard ratios observed below and above a TyG index of 8.62 (below: HR 0.71, 95% CI 0.50-0.99; above: HR 1.28, 95% CI 1.10-1.48). Notably, an increased risk of all-cause mortality was observed only when the TyG index exceeded 8.77 (HR 1.53, 95% CI 1.19-1.96).

conclusionsThis study reveals a nonlinear association between the TyG index and both all-cause mortality and MACEs in hospitalized CHD patients with CHD. Assessing the TyG index, particularly focusing on individuals with extremely low or high TyG index values, may enhance risk stratification for adverse outcomes in this patient population.

Indexed as

Coronary Artery DiseaseInsulin ResistanceGlucoseHumansProspective StudiesTriglyceridesGlucoseTriglyceridesAll-cause mortalityCoronary heart diseaseMajor adverse cardiovascular eventsNonlinear associationTriglyceride-glucose index

Identifiers

PMID38254088
PMCPMC10804527

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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.