陕西医学杂志2025，Vol.54Issue(10)：1337-1342,6.DOI:10.3969/j.issn.1000-7377.2025.10.007
甘油三酯-葡萄糖指数对急性心肌梗死患者合并心律失常的预测价值
The predictive value of the triglyceride-glucose index for arrhythmias in acute myocardial infarction patients
摘要
Abstract
Objective:Arrhythmias are commonly associated with acute myocardial infarction(AMI),and the TyG index,as a marker of metabolic syndrome,may play a role in predicting the occurrence of arrhythmias in AMI patients.This study aims to evaluate the relationship between the TyG index and arrhythmias in AMI patients,as well as its predictive efficacy.Methods:This study included AMI patients from the First Affiliated Hospital of Xi'an Jiaotong University,who were categorized into high TyG group(≥8.95)and low TyG group(＜8.95).The rela-tionship between the TyG index and arrhythmias was assessed using univariate and multivariate logistic regression a-nalysis,and its diagnostic performance was evaluated through ROC curve analysis.Subgroup analysis was also per-formed to further explore the predictive ability of the TyG index in different clinical characteristics.Results:Multiva-riate logistic regression analysis revealed a significant association between the TyG index and the occurrence of ar-rhythmias(OR=3.43,95％CI:2.87-4.11,P＜0.001).ROC curve analysis showed that the AUC of the TyG index was 0.726(95％CI:0.709-0.743),with a sensitivity of 0.870 and specificity of 0.491.Subgroup analysis indicated that the TyG index was significantly associated with arrhythmias in different genders,age groups,and diabetic pa-tients,particularly in diabetic patients,where its predictive efficacy was stronger(OR=1.93,95％CI:1.35-2.75).Conclusion:The TyG index demonstrates significant clinical value in predicting arrhythmias in AMI patients,particu-larly in identifying high-risk individuals in diabetic patients.关键词
甘油三酯-葡萄糖指数/急性心肌梗死/心律失常/危险因素/预测能力Key words
Triglyceride-glucose index/Acute myocardial infarction/Arrhythmia/Risk factors/Predictive ability分类
医药卫生引用本文复制引用
祁珊珊,李博涵,童睿,肖懿慧,雷新军,陈方尧,余航..甘油三酯-葡萄糖指数对急性心肌梗死患者合并心律失常的预测价值[J].陕西医学杂志,2025,54(10):1337-1342,6.基金项目
国家自然科学基金资助项目(82000414) （82000414）
陕西省重点研发计划项目(2025SF-YBXM-184) （2025SF-YBXM-184）
