Association between the triglyceride-glucose index and in-hospital major adverse cardiovascular events in patients with acute coronary syndrome: results from the Improving Care for Cardiovascular Disease in China (CCC)-Acute Coronary Syndrome project

Cardiovasc DiabetolPublished Cohort study

Authors' conclusion

In patients with ACS, the TyG index was an independent predictor of in-hospital MACEs. Special vigilance should be exercised in females, elderly individuals, and patients with renal insufficiency.

Study context

Population
Hospitalised patients with acute coronary syndrome, CCC-ACS database, China
Participants
101,113 patients
Exposure
TyG index quartiles 2, 3 and 4 vs quartile 1
Outcome
In-hospital MACE: all-cause mortality, cardiac arrest, MI and stroke
Follow-up
During hospitalization
Methodological detailsregistry-based (CCC-ACS database)
  • Registry-based (CCC-ACS database)

Main finding

As reported in the abstract

In-hospital MACE
Adjusted for confounders
Hazard ratio (95% CI)P value
Q3vs Q1
1.253(1.121–1.400)
P < 0.001for trend
Q4vs Q1
1.604(1.437–1.791)
P < 0.001for trend

Observational data: associations, not effects.

Further findings

Components of in-hospital MACE (2759 events) · during hospitalization

All-cause mortality
1554 (49.1%)
Cardiac arrest
601 (21.8%)
Myocardial infarction (MI)
251 (9.1%)
Stroke
353 (12.8%)

Interactions of TyG index with subgroups

Interactions between TyG index and age, sex, diabetes status, renal insufficiency status and previous PCI
all p values for interactions < 0.05

Original publication

Association between the triglyceride-glucose index and in-hospital major adverse cardiovascular events in patients with acute coronary syndrome: results from the Improving Care for Cardiovascular Disease in China (CCC)-Acute Coronary Syndrome project. Cardiovasc Diabetol. Published 15 May 2024. doi:10.1186/s12933-024-02270-7

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