Association between triglyceride glucose-body mass index and cardiovascular outcomes in patients undergoing percutaneous coronary intervention: a retrospective study

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

A higher TyG-BMI index was proportionally related to an increased incidence of MACCEs in the elderly or female patients. However, the inclusion of the TyG-BMI index did not provide better predictive performance for MACCEs in the elderly, specifically in female patients.

Study context

Population
Patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation1,438 analysed
Participants
2,533 patients
Exposure
TyG-BMI index tertiles
Outcome
MACCEs: composite of acute MI, repeat revascularization, stroke and all-cause mortality
Follow-up
34-month follow-up
Methodological detailsconsecutive participants
  • Consecutive participants

Main finding

As reported in the abstract

MACCEs

Incident MACCEs among 1438 participants

195

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
MACCEs in elderly patients (exploratory subgroup, multivariable logistic regression) · 34-month follow-upElderly patients · exploratory subgroup analysis1.22 (1.011–1.467)P = 0.038
MACCEs in female patients (exploratory subgroup, multivariable logistic regression) · 34-month follow-upFemale patients · exploratory subgroup analysis1.33 (1.004–1.764)P = 0.047

MACCEs in elderly patients (exploratory subgroup, multivariable logistic regression) · 34-month follow-up

Adding TyG-BMI index to traditional risk factor models did not improve risk prediction for MACCEs in elderly patients

MACCEs in female patients (exploratory subgroup, multivariable logistic regression) · 34-month follow-up

Adding TyG-BMI index to traditional risk factor models did not improve risk prediction for MACCEs in female patients

Original publication

Association between triglyceride glucose-body mass index and cardiovascular outcomes in patients undergoing percutaneous coronary intervention: a retrospective study. Cardiovasc Diabetol. Published 30 March 2023. doi:10.1186/s12933-023-01794-8

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