A Retrospective Study of the Relationship Between the Triglyceride Glucose Index and Myocardial Revascularization for New-Onset Acute Coronary Syndromes

Frontiers in Cardiovascular Medicine

article

Jiatian Li¹  Yajuan Lin¹  Han Li¹  Rui Fan¹  Li Lin¹  Xinying Wang¹  Yinong Jiang²  Yun-Long Xia²  Bo Zhang²  Xiaolei Yang¹ 

[1] Institute of Cardiovascular Diseases, The First Affiliated Hospital of Dalian Medical University;Department of Cardiology, The First Affiliated Hospital of Dalian Medical University

关键词: TyG index;    serum uric acid;    myocardial revascularization;    acute coronary syndromes;    coronary artery disease;   

DOI  :  10.3389/fcvm.2022.862252

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Background This study explored the relationship between the TyG index/serum uric acid (SUA) panel and myocardial revascularization (MRT) for new-onset acute coronary syndromes (ACS). Methods Between January 2011 and July 2020, 13,271 new-onset ACS patients were enrolled. The logistic regression models and the odds ratios (ORs) were used to quantify the risk of TyG index/SUA and MRT. Then, interaction analyses of TyG index and SUA on MRT were applied. Results Elevated TyG index was positively associated higher risks of MRT. However, SUA levels were negatively associated with MRT. Compared with those in the lowest quartile, the risk of MRT increased gradually among patients in Q1 of the SUA category (OR = 1.03, 1.11, and 1.28 for Q2, Q3, and Q4 of TyG index, respectively), Q2 of the SUA category (OR = 1.41, 1.68, and 2.18 for Q2, Q3, and Q4 of TyG index, respectively), Q3 of the SUA category (OR = 1.05, 1.45, and 1.45 for Q2, Q3, and Q4 of TyG index, respectively), and Q4 of the SUA category (OR = 1.20, 1.29, and 1.46 for Q2, Q3, and Q4 of TyG index, respectively). This pattern was observed in both male and female, as well as patients without type 2 diabetes mellitus. Conclusion Patients with a higher TyG index have a higher proportion of MRT in new-onset ACS. This result also applies to patients with different levels of SUA during new-onset ACS.

【 授权许可】

CC BY