Lipids & metabolic liver disease

Prognostic value of triglyceride-glucose index in patients with chronic coronary syndrome undergoing percutaneous coronary intervention

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

The elevated TyG index is associated with an increased risk of cardiovascular events and predicts future MACEs in patients with CCS undergoing PCI independently of known cardiovascular risk factors, indicating that the TyG index may be a potential marker for risk stratification and prognosis in CCS patients undergoing PCI.

Study context

Population
Patients with chronic coronary syndrome undergoing percutaneous coronary intervention (PCI), China-Japan Friendship Hospital, 2019–2021
Participants
1,353 patients
Exposure
Triglyceride-glucose (TyG) index tertiles
Outcome
MACE
Follow-up
1-year follow-up
Methodological detailssingle-centre, Hospital Information System database
  • Single-centre
  • Hospital Information System database

Main finding

As reported in the abstract

1 year
Each group vs T1Fully adjusted HR (95% CI)P value
T2
1.343(1.054 ≈1.711)
T3
2.297(1.842 ≈2.864)
P < 0.001for trend
Highest TyG index: 59.5% increased risk of MACE
adjusted HR 1.595 1.595 (95% CI 1.370 ≈1.855)

Observational data: associations, not effects.

Further findings

Predictive performance of TyG index for MACE

AUC
0.810 (0.786, 0.834)
χ2 likelihood ratio test
χ2 = 7.474, P = 0.486

Dose-response (restricted cubic spline (RCS)) · 1 year

TyG index nonlinearly associated with MACE risk
P for nonlinear < 0.001

Subgroup analyses

Results consistent with main analyses

Original publication

Prognostic value of triglyceride-glucose index in patients with chronic coronary syndrome undergoing percutaneous coronary intervention. Cardiovasc Diabetol. Published 28 November 2023. doi:10.1186/s12933-023-02060-7

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