Prevention & lipids

Triglyceride-glucose index, low-density lipoprotein levels, and cardiovascular outcomes in chronic stable cardiovascular disease: results from the ONTARGET and TRANSCEND trials

Eur J Prev CardiolPublished Secondary analysis of the ONTARGET and TRANSCEND randomised trials

Primary result · Primary endpointResult — go to the resultHazard ratio 1.14 95% CI 1.05–1.25

Authors' conclusion

A higher TyG index is associated with a modestly increased cardiovascular risk in chronic stable cardiovascular disease. This association is largely attenuated when LDL levels are controlled.

Study context

Population
Patients with known atherosclerotic disease (chronic stable CVD) in the ONTARGET and TRANSCEND trials
Participants
29,960 patients
Comparison
Highest vs lowest quartile of the TyG index
Primary endpoint
Composite of:
  • CV death
  • MI
  • Stroke
  • Hospitalization for HF
Follow-up
Mean 4.3 years

Primary result

Primary endpoint

Hazard ratio

1.14

95% CI 1.05–1.25

Highest quartilevs Lowest quartile
HR 1.14 (95% CI 1.05–1.25)

As reported in the abstract

Secondary outcomes

OutcomeHR (95% CI)
MIFully adjusted1.30 (1.11–1.53)

Primary endpoint, low density lipoprotein (LDL) < 100 mg/dL (subgroup)

Higher TyG index not associated with the primary endpoint

Original publication

Triglyceride-glucose index, low-density lipoprotein levels, and cardiovascular outcomes in chronic stable cardiovascular disease: results from the ONTARGET and TRANSCEND trials. Eur J Prev Cardiol. Published 27 October 2023. doi:10.1093/eurjpc/zwad340

Composed by AI from the published abstract and checked against it. How Briefs are made →

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