Evidence map›Paper›PMID 40405981›Full record

ArticleFrontiers in endocrinology2025

Triglyceride-glucose index predicts ventricular aneurysm formation in acute ST-segment elevation myocardial infarction.

Xiaobin Zeng, Yanyu Zhang, Xiaoshuang Xie, Jianjun Lan, Shiyang Li

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Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiaobin Zeng *Division of Cardiology, Panzhihua Central Hospital, Panzhihua, China.
Yanyu ZhangClinical Laboratory, Panzhihua Central Hospital, Panzhihua, China.
Xiaoshuang XieDivision of Cardiology, Panzhihua Central Hospital, Panzhihua, China.
Jianjun LanDivision of Cardiology, Panzhihua Central Hospital, Panzhihua, China.
Shiyang Li *Department of Geriatrics, Panzhihua Central Hospital, Panzhihua, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The triglyceride-glucose (TyG) index has been confirmed to be a predictor of cardiovascular diseases. The present study aimed to assess the predictive value of TyG index for left ventricular aneurysm (LVA) formation and prognosis in patients with acute ST-segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI). Methods: This prospective study included 991 patients with acute STEMI who underwent primary PCI. Multivariable logistic regression and receiver operating characteristic (ROC) curve analysis were used to assess the predictive value of TyG index for LVA formation. Prognosis analysis was performed with cox proportional hazard regression. Results: The prevalence of LVA was 14.4%. A higher TyG index was associated with a greater incidence of LVA (23.1% vs. 11.8%, P< 0.001). The TyG index was also higher in the LVA group than in the non-LVA group (9.4 ± 0.9 vs. 9.0 ± 0.8, P<0.001). Multivariable logistic regression analysis revealed that the TyG index was independently associated with the risk of LVA [odds ratio (OR)= 2.4, 95% confidence interval (CI)= 1.51-3.82, P< 0.001]. The predictive value of the TyG index remained significant even after cross-validation by dividing the study population into a training set (OR= 2.32, 95% CI= 1.24-4.35, P= 0.009) and validation set (OR= 3.19, 95% CI= 1.42-7.19, P= 0.005). Higher TyG index was correlated with increased risk of cardiac death (HR= 2.17, P= 0.04). The maximal length and width of LVA were significantly increased in patients with TyG index ≥ 9.68 compared with < 9.68 (P< 0.001). The discriminant power of TyG index for LVA was 0.742, which was superior to both triglyceride (C statistic= 0.666) and fasting blood glucose (C statistic= 0.613). The combination of TyG index, left ventricular ejection fraction, gensini score, and left anterior descending artery as the culprit vessel could significantly improve the predictive ability (C statistic= 0.908). Conclusions: A higher TyG index was an independent predictor for LVA formation and increased risk of cardiac death in patients with STEMI who underwent primary PCI.

Indexed as

Blood GlucoseHeart AneurysmST Elevation Myocardial InfarctionTriglyceridesAgedFemaleHeart VentriclesHumansMaleMiddle AgedPercutaneous Coronary InterventionPrognosisProspective StudiesRisk FactorsBlood GlucoseTriglyceridesacute ST-segment elevation myocardial infarctionleft ventricular aneurysmpredictiveprimary percutaneous coronary interventiontriglyceride-glucose index

Identifiers

PMID40405981
PMCPMC12094953

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