Objective To discuss the correlation between triglyceride-glucose index (TYG) and the major ischemic events in the past year in patients with acute myocardial infarction (AMI) treated with primary percutaneous coronary interventions (PCI). Methods The present study is a retrospective analysis based on a single-center registration database. From March 2016 to March 2019, the clinical data of 2203 eligible patients with AMI undergoing primary PCI were collected from the General Hospital of Northern Theater Command, and divided into two groups according to the median TYG index at admission [TYG <9.1047 group (n=1101) and TYG ≥9.1047 group (n=1102)]. The demographic characteristics, risk factors and complication, laboratory test, operation characteristics and medication after discharge were compared between the two groups. Meanwhile, the one-year ischemic events (cardiac death, myocardial infarction and/or ischemic stroke) and all-cause death were compared between the two groups. The Cox regression models were used to analyze the correlation between TYG and main outcomes. To evaluate the predictive value of TYG for one-year ischemic events using the ROC curve. Results Compared with TYG <9.1047 group, patients in TYG ≥9.1047 group were younger, less male, and had a higher proportion of hypertension and diabetes (P<0.05), and higher incidence with significant differences (P<0.05) in the frequency of one-year ischemic events, cardiac death and all-cause death. The TYG showed acceptable performance in prediction of one-year ischemic events and all-cause death with areas under the curve (AUC) of 0.62(95%CI 0.55-0.68) for ischemic events and 0.61(95%CI 0.55-0.68) for all-cause death. The best cut-off point for distinguishing the main end point from one-year ischemic events was 9.5948, the sensitivity was 47.3%, and the specificity was 76.5%. Conclusion Excessive TYG at admission of AMI patients is significantly related to the incidence of one-year ischemic events after PCI.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |