Relationship between triglyceride glucose index and short-term major cardiovascular adverse events in patients with acute myocardial infarction undergoing percutaneous coronary intervention and its predictive value
10.3760/cma.j.cn211501-20241116-03161
- VernacularTitle:三酰甘油-葡萄糖指数与接受经皮冠状动脉介入治疗的急性心肌梗死患者短期主要心血管不良事件的关系及预测价值
- Author:
Yaling HUANG
1
;
Yaoyue LUO
;
Jing JIN
;
Yang WU
;
Meng HE
;
Nenmiao LUO
;
Ting CHEN
Author Information
1. 湖南中医药大学护理学院，长沙 410000
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Percutaneous coronary intervention;
Triglyceride-glucose index;
Major adverse cardiovascular events;
Postoperative care
- From:
Chinese Journal of Practical Nursing
2025;41(14):1080-1085
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship between triglyceride glucose (TyG) index and major adverse cardiovascular events (maces) within 30 days after discharge in patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI) and its predictive value.Methods:A single center retrospective study was conducted to select AMI patients with PCI in the chest pain center of the Fourth Hospital of Changsha from January 2023 to January 2024 by a convenience sampling method. The clinical data and follow-up information of the patients were collected. The relationship between TyG index and Maces and its predictive value were tested by correlation analysis and logistic regression model.Results:A total of 110 patients met the inclusion and exclusion criteria, including 88 males and 22 females, aged (61.46 ± 12.42) years old. Spearman correlation analysis showed that TyG index was positively correlated with maces 30 days after discharge ( r = 0.421, P<0.001). Logistic regression analysis showed that TyG index was a risk factor for maces in AMI patients 30 days after discharge ( OR = 9.033, 95% CI 2.835-8.788, P<0.001). Receiver operating characteristic (ROC) curve analysis showed that the area under the curve (AUC) was 0.854 (95% CI 0.765-0.943, P<0.001). Conclusions:TyG index has a significant positive correlation with maces within 30 days after discharge, which is an independent risk factor for maces within 30 days after discharge. Risk stratification by TyG index is more conducive to the management of clinical postoperative nursing and nursing education after discharge.
