Triglyceride-glucose index predicts adverse cardiovascular events in patients with H-type hypertension combined with coronary heart disease: a retrospective cohort study

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

The TyG index may be an independent risk factor for predicting adverse postoperative cardiovascular events in patients with H-type hypertension combined with CHD, indicating its potential significance in improving risk stratification strategies.

Study context

Population
Patients with H-type hypertension combined with coronary heart disease (CHD), Beijing Anzhen Hospital, 2018–2023
Participants
546 patients73 major adverse cardiovascular events (MACEs)
Exposure
TyG index tertiles
Outcome
MACE
Follow-up
Median 39.00 ± 0.69 months
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Fully adjusted OR (95% CI)
T2vs T1
1.64(0.80–3.36)
T3vs T1
2.43(1.19–4.97)
Higher TyG tertiles associated with higher cumulative risk of MACE (log-rank)
P = 0.001

Observational data: associations, not effects.

Further findings

Incremental predictive ability of TyG index added to baseline model

C-statistic increased from 0.63 to 0.66
P = 0.031
Continuous NRI 0.13 (95% CI 0.001-0.276)
P = 0.038
IDI 0.01 (95% CI 0.000-0.031)
P = 0.047

Original publication

Triglyceride-glucose index predicts adverse cardiovascular events in patients with H-type hypertension combined with coronary heart disease: a retrospective cohort study. Cardiovasc Diabetol. Published 29 January 2025. doi:10.1186/s12933-024-02555-x

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