Predictive value of triacylglycerol glucose index and triacylglycerol glucose body mass index on the severity of coronary artery disease in postmenopausal patients with coronary heart disease
10.3969/j.issn.1006-2483.2026.05.024
- VernacularTitle:三酰甘油葡萄糖指数和三酰甘油葡萄糖体重指数对绝经后冠心病患者冠脉病变严重程度的预测价值
- Author:
Fengling YUAN
1
;
Jian SONG
1
;
Aiwen ZHANG
1
;
Wei QIN
1
;
Li YE
1
Author Information
1. Department of Cardiovascular Medicine, Affiliated Hospital of Chengde Medical University, Chengde, Hebei 067000, China
- Publication Type:Journal Article
- Keywords:
Triglyceride-glucose index;
Triglyceride-glucose-body mass index;
Menopause;
Coronary heart disease;
Predictive value
- From:
Journal of Public Health and Preventive Medicine
2026;37(5):111-115
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the predictive value of the combined application of triglyceride-glucose index (TyG) and triglyceride-glucose-body mass index (TyG-BMI) for the severity of coronary artery lesions in postmenopausal patients with coronary heart disease (CHD). Methods Menopausal women who were diagnosed by coronary angiography and received treatment in the cardiovascular department were selected as the research subjects. According to the Gensini score, the patients were divided into a moderate group (n=151) and a severe group (n=203). The clinical indexes of the two groups were compared and ROC analysis was used to predict the efficacy. Results The BMI, age, hypertension rate, WBC, PLT, NEUT, TC, TG, LCI, TyG, and TyG‑BMI in the severe group were significantly higher than those in the moderate group, while ALB was significantly lower than that in the moderate group (P<0.05). Multivariate logistic regression showed that age, hypertension, WBC, TyG, and TyG‑BMI were independent risk factors for severe coronary artery disease in postmenopausal women (P<0.05). ROC curve analysis showed that the AUC of TyG was 0.745, the AUC of TyG‑BMI was 0.797, and the AUC of TyG combined with TyG‑BMI was 0.803, all showing good predictive performance. Conclusion TyG and TyG‑BMI are effective indicators for predicting the severity of coronary artery disease in postmenopausal CHD patients. The combination of the two can further improve predictive efficacy, providing a simple and economical reference for early clinical risk stratification.
