Heart failure & cardiomyopathies

Triglyceride Glucose Index is a Risk Factor for Heart Failure: A Prospective Cohort Study

ESC Heart FailPublished Prospective cohort study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 1.6 95% CI 1.22–2.09

Authors' conclusion

The TyG index was positively associated with increased all-cause mortality in hospitalized patients with HF. Subgroup analyses indicated that the TyG index was strongly associated with all-cause mortality in older and female patients.

Study context

Population
Patients with heart failure (HF) diagnosed at Hebei General Hospital
Participants
1,274 patients
Exposure
Triglyceride glucose (TyG) index quartiles
Outcome
All-cause mortality
Follow-up
Median 1079 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Hazard ratio

1.6

95% CI 1.22–2.09

P = 0.001

Q4vs Q1
HR 1.6 (95% CI 1.22–2.09); P = 0.001
Total deaths
543 (42.7%)
Unadjusted survival curves: no significant difference among the four groups
log-rank P = 0.329
Adjusted survival curves (Model 3): higher TyG index, higher risk of death
log-rank P < 0.001
Risk increased linearly with TyG index (restricted cubic spline)
P for non-linear = 0.207

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
All-cause mortality per TyG index (continuous), female patients (exploratory subgroup)1.31 (1.08–1.58)P = 0.029
All-cause mortality per TyG index (continuous), older patients (exploratory subgroup)1.25 (1.1–1.43)P = 0.027

Original publication

Triglyceride Glucose Index is a Risk Factor for Heart Failure: A Prospective Cohort Study. ESC Heart Fail. Published 17 July 2024. doi:10.1002/ehf2.14963

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