1. TYG Index as a Novel Predictor of Clinical Outcomes in Advanced Chronic Heart Failure with Renal Dysfunction Patients
- Author
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Su,Chang, Wang,Zeyu, Qin,Zhen, Lv,Yan, Hou,Yachen, Zhang,Ge, Cheng,Mengdie, Cui,Xinyue, Liu,Zhiyu, Du,Pengchong, Liu,Tianding, Yuan,Peiyu, Tang,Junnan, Zhang,Jinying, Su,Chang, Wang,Zeyu, Qin,Zhen, Lv,Yan, Hou,Yachen, Zhang,Ge, Cheng,Mengdie, Cui,Xinyue, Liu,Zhiyu, Du,Pengchong, Liu,Tianding, Yuan,Peiyu, Tang,Junnan, and Zhang,Jinying
- Abstract
Chang Su,1â 3 Zeyu Wang,4 Zhen Qin,1â 3 Yan Lv,1â 3 Yachen Hou,1â 3 Ge Zhang,1â 3 Mengdie Cheng,1â 3 Xinyue Cui,1â 3 Zhiyu Liu,1â 3 Pengchong Du,1â 3 Tianding Liu,1â 3 Peiyu Yuan,1â 3 Junnan Tang,1â 3 Jinying Zhang1â 3 1Department of Cardiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, Peopleâs Republic of China; 2Key Laboratory of Cardiac Injury and Repair of Henan Province, Zhengzhou, Henan, Peopleâs Republic of China; 3Henan Province Clinical Research Center for Cardiovascular Diseases, Zhengzhou, Henan, Peopleâs Republic of China; 4Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, Peopleâs Republic of ChinaCorrespondence: Junnan Tang; Jinying Zhang, Department of Cardiology, First Affiliated Hospital of Zhengzhou University, No. 1 Eastern Jianshe Road, Zhengzhou, Henan, 450052, Peopleâs Republic of China, Tel +86 15890696166 ; +86 13503830283, Email fcctangjn@zzu.edu.cn; jyzhang@zzu.edu.cnBackground: The triglyceride-glucose (TYG) index is a novel and reliable marker reflecting insulin resistance. Its predictive ability for cardiovascular disease onset and prognosis has been confirmed. However, for advanced chronic heart failure (acHF) patients, the prognostic value of TYG is challenged due to the often accompanying renal dysfunction (RD). Therefore, this study focuses on patients with aHF accompanied by RD to investigate the predictive value of the TYG index for their prognosis.Methods and Results: 717 acHF with RD patients were included. The acHF diagnosis was based on the 2021 ESC criteria for acHF. RD was defined as the eGFR < 90 mL/(min/1.73 m2). Patients were divided into two groups based on their TYG index values. The primary endpoint was major adverse cardiovascular events (MACEs), and the secondary endpoints is all-cause mortality (ACM). The follow-up duration was 21.58 (17.98â 25.39) months. The optimal cutoff valu
- Published
- 2024