Evidence map›Paper›PMID 38724999›Full record

ArticleCardiovascular diabetology2024

Association between triglyceride glucose-body mass index and long-term adverse outcomes of heart failure patients with coronary heart disease.

Lyu Lyu, Xinhong Wang, Juan Xu, Zhenzhen Liu, Yanru He, Wenjing Zhu, Lin Lin, Benchuan Hao, Hongbin Liu

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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Lyu Lyu *Department of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Xinhong Wang *Department of Cardiology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Juan Xu *Department of General Surgery, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China.
Zhenzhen LiuDepartment of Cardiology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Yanru HeDepartment of Cardiology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Wenjing ZhuDepartment of Cardiology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Lin LinDepartment of Cardiology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Benchuan HaoDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China. haobch301@163.com.
Hongbin LiuDepartment of Cardiology, The Second Medical Center, Chinese PLA General Hospital, Beijing, China. liuhbcad301@163.com.

Funding

the Special Project of Health Care No.22BJZ26
6 · The paper itself

Abstract

backgroundThe triglyceride glucose-body mass index (TyG-BMI) is recognized as a reliable surrogate for evaluating insulin resistance and an effective predictor of cardiovascular disease. However, the link between TyG-BMI index and adverse outcomes in heart failure (HF) patients remains unclear. This study examines the correlation of the TyG-BMI index with long-term adverse outcomes in HF patients with coronary heart disease (CHD).

methodsThis single-center, prospective cohort study included 823 HF patients with CHD. The TyG-BMI index was calculated as follows: ln [fasting triglyceride (mg/dL) × fasting blood glucose (mg/dL)/2] × BMI. To explore the association between the TyG-BMI index and the occurrences of all-cause mortality and HF rehospitalization, we utilized multivariate Cox regression models and restricted cubic splines with threshold analysis.

resultsOver a follow-up period of 9.4 years, 425 patients died, and 484 were rehospitalized due to HF. Threshold analysis revealed a significant reverse "J"-shaped relationship between the TyG-BMI index and all-cause mortality, indicating a decreased risk of all-cause mortality with higher TyG-BMI index values below 240.0 (adjusted model: HR 0.90, 95% CI 0.86-0.93; Log-likelihood ratio p = 0.003). A distinct "U"-shaped nonlinear relationship was observed with HF rehospitalization, with the inflection point at 228.56 (adjusted model: below: HR 0.95, 95% CI 0.91-0.98; above: HR 1.08, 95% CI 1.03-1.13; Log-likelihood ratio p < 0.001).

conclusionsThis study reveals a nonlinear association between the TyG-BMI index and both all-cause mortality and HF rehospitalization in HF patients with CHD, positioning the TyG-BMI index as a significant prognostic marker in this population.

Indexed as

BiomarkersBlood GlucoseBody Mass IndexCoronary DiseaseHeart FailurePatient ReadmissionTriglyceridesAgedCause of DeathFemaleHumansInsulin ResistanceMaleMiddle AgedPredictive Value of TestsPrognosisBiomarkersBlood GlucoseTriglyceridesAll-cause mortalityHeart failureHeart failure rehospitalizationNonlinear associationTriglyceride glucose-body mass index

Identifiers

PMID38724999
PMCPMC11080126

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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.