Triglyceride-glucose index predicts major adverse cardiovascular events in patients with chronic kidney disease

• Published in: International urology and nephrology Vol. 56; no. 8; pp. 2793 - 2802
• Main Authors: Li, Kangbo, Hou, Qiqi, Li, Xinyi, Tian, Liying, Wang, Liyan, Wu, Shouling, Han, Quanle
• Format: Journal Article
• Language: English
• Published: Dordrecht Springer Netherlands 01.08.2024; Springer Nature B.V
• Subjects: Aged; Biomarkers - blood; Blood Glucose - analysis; Blood Glucose - metabolism; Cardiovascular Diseases - blood; Cardiovascular Diseases - etiology; Cerebral infarction; Disease resistance; Female; Humans; Insulin resistance; Ischemia; Kidney diseases; Male; Medicine; Medicine & Public Health; Middle Aged; Myocardial infarction; Myocardial Infarction - blood; Nephrology; Nephrology - Original Paper; Predictive Value of Tests; Regression analysis; Renal Insufficiency, Chronic - blood; Renal Insufficiency, Chronic - complications; Triglycerides - blood; Urology; Triglyceride-glucose index; Insulin resistance; Chronic kidney disease; Major adverse cardiovascular events
• ISSN: 1573-2584; 0301-1623; 1573-2584
• DOI: 10.1007/s11255-024-04005-9

Background and purpose Triglyceride-glucose (TyG) index has been regarded as a reliable surrogate marker of insulin resistance for predicting cardiovascular outcomes. The current study aimed to explore the associations between TyG index with major adverse cardiovascular events (MACE) in patients with chronic kidney disease (CKD). Methods/patients 13,517 patients with chronic kidney disease (CKD) from the Kailuan study were included. Patients were divided into quartiles according to the TyG index. The outcomes were MACE, including acute myocardial infarction (AMI) and ischemic stroke (IS). The association between TyG index and the risk of MACE was analyzed by Cox regression models. Results During 13.87-year follow-up, a total 1356 MACEs occurred. Multivariable Cox proportional-hazards analyses showed that a higher TyG index quartile was associated with an elevated risk of MACE. Conclusions TyG index is significantly related to MACE in patients with CKD. TyG index can be regarded as a novel predictor of MACE for patients with CKD.