Lipids & metabolic liver disease

Triglyceride-glucose index is associated with myocardial ischemia and poor prognosis in patients with ischemia and no obstructive coronary artery disease

Cardiovasc DiabetolPublished Cohort study

Main finding · Abnormal MPI (myocardial ischemia)Result — go to the resultOdds ratio 1.901 95% CI 1.045–3.458

Authors' conclusion

This study indicates for the first time that the TyG index is significantly associated with myocardial ischemia and poor prognosis among INOCA patients.

Study context

Population
INOCA patients who underwent both coronary angiography and myocardial perfusion imaging (MPI)
Participants
332 patients
Exposure
Triglyceride-glucose (TyG) index tertiles
Outcome
Myocardial ischemia (abnormal MPI: Summed stress score (SSS) ≥ 4 and summed difference score (SDS) ≥ 2) and MACE
Methodological detailsconsecutive enrolment
  • Consecutive enrolment

Main finding

Abnormal MPI (myocardial ischemia)

Odds ratio

1.901

95% CI 1.045–3.458

P = 0.035

High TyG index
OR 1.901 (95% CI 1.045–3.458); P = 0.035

As reported in the abstract

Abnormal MPI, all INOCA patients
113 (34.0%)

Observational data: associations, not effects.

Further findings

MACE · median 35 months of follow-up — T3 vs T2 · across tertiles (T3 vs T2 vs T1)

P = 0.001

OutcomeHR (95% CI)P value
MACE · median 35 months of follow-upT3vs T1Multivariate Cox regression2.338 (1.253–4.364)P = 0.008
Major adverse cardiac events (MACE) — MACE recorded, all patients
83 (25%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Triglyceride-glucose index is associated with myocardial ischemia and poor prognosis in patients with ischemia and no obstructive coronary artery disease. Cardiovasc Diabetol. Published 31 May 2024. doi:10.1186/s12933-024-02230-1

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