武警医学2025，Vol.36Issue(1)：25-29,5.
TyG指数对急性心肌梗死患者院内不良心血管事件的预测价值
Prognostic value of TyG index for in-hospital adverse cardiovascular events in patients with acute myocardial infarction
摘要
Abstract
Objective To investigate the association between the triglyceride-glucose(TyG)index and in-hospital major ad-verse cardiovascular events(MACE)in patients with acute myocardial infarction(AMI)based on propensity score matching(PSM)method.Methods A retrospective analysis was conducted on 769 AMI patients admitted to the First Medical Center of PLA General Hospital from January 2022 to May 2024.The patients were divided into non-MACE and MACE groups based on the occurrence of MACE.PSM was used for 1∶1 matching to balance the baseline data between the two groups.Clinical data after matching were com-pared,and the relationship between the TyG index and in-hospital MACE in AMI patients was analyzed using multivariable logistic re-gression.Results A total of 132 patients experienced in-hospital MACE.Before PSM,there were significant differences in age,smok-ing history,drinking history,diabetes history,and stroke history between the two groups(P＜0.05).After PSM,258 cases were ob-tained,and the comparison between the groups was balanced.After PSM,the MACE group had higher levels of heart rate,C-reactive protein(CRP),N-terminal pro-B-type natriuretic peptide(NT-proBNP),TyG index,and higher proportions of renal dysfunction,liv-er dysfunction,intra-aortic balloon pumping(IABP),and extracorporeal membrane oxygenation(ECMO),while the systolic blood pressure(SBP),hemoglobin(Hb),albumin levels,and the proportion of temporary pacemaker use were lower(P＜0.05).Multivari-able logistic regression analysis showed that after adjusting for confounding factors,TyG index[OR and 95％CI:1.96(1.23-3.13)]was still the influential factor for MACE in hospital(P＜0.05).Conclusions The incidence of in-hospital MACE of AMI patients in-creases with the elevation of the TyG index,and the TyG index is an independent influencing factor of the former.关键词
三酰甘油-葡萄糖指数/急性心肌梗死/院内不良心血管事件Key words
triglyceride-glucose index/acute myocardial infarction/in-hospital adverse outcome分类
医药卫生引用本文复制引用
周翔,刘睿涵,刘昱彤,田璠,张杰,王小毛,曹剑..TyG指数对急性心肌梗死患者院内不良心血管事件的预测价值[J].武警医学,2025,36(1):25-29,5.基金项目
军队某课题资助 （）
