Triglyceride–glucose index as a marker of adverse cardiovascular prognosis in patients with coronary heart disease and hypertension

Cardiovasc DiabetolPublished Prospective observational cohort study

Authors' conclusion

The elevated TyG index was a potential marker of adverse prognosis in patients with CHD and hypertension.

Study context

Population
Hospitalized patients with coronary heart disease (CHD) and hypertension, January 2021 to December 2021
Participants
1,467 patients
Exposure
Triglyceride-glucose (TyG) index tertiles
Outcome
Composite of:
  • First occurrence of all-cause mortality
  • Total nonfatal CVD events
Follow-up
one-year follow up

Main finding

As reported in the abstract

Primary composite endpoint · one-year follow-up
Estimate (95% CI)P value
T2vs T1
fully adjusted HR 1.43(0.90–2.26)
T3vs T1
fully adjusted HR 1.73(1.06–2.82)
P = 0.018for trend
Per SD increase in TyG indexrisk increased by 28%
adjusted HR 1.28(1.04–1.59)
Primary endpoint events (all patients)
154 (10.5%)

Observational data: associations, not effects.

Secondary outcomes

Atherosclerotic CVD (ASCVD) events (non-fatal stroke/TIA and recurrent CHD events) · one-year follow-up

ASCVD events (all patients)
129 (8.8%)
Similar results were observed in ASCVD events

Original publication

Triglyceride–glucose index as a marker of adverse cardiovascular prognosis in patients with coronary heart disease and hypertension. Cardiovasc Diabetol. Published 9 June 2023. doi:10.1186/s12933-023-01866-9

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