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Table 2 Baseline clinical characteristics of patients stratified by the optimal cutoff point of TyG index

From: Impacts of triglyceride-glucose index on prognosis of patients with type 2 diabetes mellitus and non-ST-segment elevation acute coronary syndrome: results from an observational cohort study in China

 

Total population (n = 798)

Lower TyG index (< 9.18; n = 429)

Higher TyG index (≥ 9.18; n = 369)

P value

Age, years

60.9 ± 8.3

62.1 ± 7.9

59.5 ± 8.5

< 0.001

Sex, male, n (%)

545 (68.3)

303 (70.6)

242 (65.6)

0.127

BMI, kg/m2

26.7 ± 3.2

26.3 ± 3.2

27.1 ± 3.2

< 0.001

Heart rate, bpm

71.7 ± 10.2

70.9 ± 9.6

72.5 ± 10.8

0.028

SBP, mmHg

131.8 ± 17.1

131.3 ± 16.8

132.2 ± 17.5

0.443

DBP, mmHg

76.8 ± 10.1

76.2 ± 10.1

77.6 ± 10.1

0.051

Smoking, n (%)

417 (52.3)

227 (52.9)

190 (51.5)

0.688

Drinking, n (%)

184 (23.1)

106 (24.7)

78 (21.1)

0.233

Family history of CAD, n (%)

93 (11.7)

44 (10.3)

49 (13.3)

0.185

Duration of diabetes, years

8.2 ± 4.3

8.3 ± 4.3

8.2 ± 4.2

0.681

Medical history, n (%)

 Hypertension

573 (71.8)

303 (70.6)

270 (73.2)

0.426

 Dyslipidemia

710 (89.0)

347 (80.9)

363 (98.4)

< 0.001

 Prior MI

175 (21.9)

90 (21.0)

85 (23.0)

0.484

 Prior PCI

151 (18.9)

82 (19.1)

69 (18.7)

0.881

 Prior stroke

109 (13.7)

60 (14.0)

49 (13.3)

0.772

 Prior PVD

125 (15.7)

72 (16.8)

53 (14.4)

0.348

Laboratory results

 TGs, mg/dL

138.2 (97.2, 198.5)

99.2 (78.4, 127.1)

204.7 (164.4, 276.0)

< 0.001

 TC, mg/dL

157.2 ± 39.7

145.9 ± 35.0

170.4 ± 40.8

< 0.001

 LDL-C, mg/dL

94.2 ± 33.1

88.2 ± 30.5

101.1 ± 34.6

< 0.001

 HDL-C, mg/dL

36.9 ± 8.7

38.7 ± 9.3

34.8 ± 7.3

< 0.001

 hs-CRP, mg/L

1.6 (0.7, 4.1)

1.3 (0.6, 4.2)

1.9 (0.9, 3.9)

0.009

 Creatinine, mg/dL

0.8 ± 0.2

0.8 ± 0.2

0.8 ± 0.2

0.655

 eGFR, mL/(min * 1.73 m2)

96.5 ± 21.6

96.6 ± 21.3

96.5 ± 22.0

0.992

 Uric acid, μmol/L

328.0 ± 75.6

322.2 ± 74.9

334.8 ± 75.9

0.019

 FBG, mg/dL

127.7 (109.6, 157.0)

115.4 (102.3, 133.1)

149.9 (125.3, 177.8)

< 0.001

 HbA1c, %

7.5 ± 1.3

7.1 ± 1.2

7.8 ± 1.3

< 0.001

 TyG index

9.1 ± 0.6

8.6 ± 0.4

9.7 ± 0.4

< 0.001

 LVEF, %

64.0 ± 6.6

64.0 ± 6.8

64.0 ± 6.4

0.986

Initial diagnosis, n (%)

0.022

 UA

650 (81.5)

362 (84.4)

288 (78.0)

 

 NSTEMI

148 (18.5)

67 (15.6)

81 (22.0)

 

Pre-admission medication, n (%)

 ACEI

79 (9.9)

44 (10.3)

35 (9.5)

0.716

 ARB

128 (16.0)

66 (15.4)

62 (16.8)

0.586

 DAPT

253 (31.7)

136 (31.7)

117 (31.7)

0.999

 Aspirin

427 (53.5)

226 (52.7)

201 (54.5)

0.613

 Clopidogrel

264 (33.1)

141 (32.9)

123 (33.3)

0.889

 β-blocker

166 (20.8)

92 (21.4)

74 (20.1)

0.629

 Statins

233 (29.2)

127 (29.6)

106 (28.7)

0.786

 Proton pump inhibitor

8 (1.0)

4 (0.9)

4 (1.1)

0.830

 Oral hypoglycemic agents

413 (51.8)

220 (51.3)

193 (52.3)

0.773

 Metformin

170 (21.3)

101 (23.5)

69 (18.7)

0.096

 Alpha-glucosidase inhibitor

185 (23.2)

100 (23.3)

85 (23.0)

0.927

 Sulfonylurea

126 (15.8)

67 (15.6)

59 (16.0)

0.886

 Dipeptidyl peptidase 4 inhibitor

15 (1.9)

7 (1.6)

8 (2.2)

0.578

 Insulin

225 (28.2)

109 (25.4)

116 (31.4)

0.059

Post-discharge medication, n (%)

 ACEI

234 (29.3)

114 (26.6)

120 (32.5)

0.066

 ARB

384 (48.1)

204 (47.6)

180 (48.8)

0.729

 DAPT

796 (99.7)

429 (100.0)

367 (99.5)

0.214

 DAPT interruption in 12 months

12 (1.5)

7 (1.6)

5 (1.4)

0.749

 Aspirin

797 (99.9)

429 (100.0)

368 (99.7)

0.462

 Clopidogrel

797 (99.9)

429 (100.0)

368 (99.7)

0.462

 β-blocker

744 (93.2)

400 (93.2)

344 (93.2)

0.993

 Statins

787 (98.6)

423 (98.6)

364 (98.6)

0.958

 Statins interruption in 12 months

31 (3.9)

14 (3.3)

17 (4.6)

0.327

 Proton pump inhibitor

790 (99.0)

426 (99.3)

364 (98.6)

0.568

 Oral hypoglycemic agents

409 (51.3)

217 (50.6)

192 (52.0)

0.683

 Metformin

167 (20.9)

98 (22.8)

69 (18.7)

0.151

 Alpha-glucosidase inhibitor

181 (22.7)

97 (22.6)

84 (22.8)

0.959

 Sulfonylurea

123 (15.4)

64 (14.9)

59 (16.0)

0.676

 Dipeptidyl peptidase 4 inhibitor

15 (1.9)

7 (1.6)

8 (2.2)

0.578

 Insulin

217 (27.2)

104 (24.2)

113 (30.6)

0.043

Angiographic data

 LM disease, n (%)

44 (5.5)

19 (4.4)

25 (6.8)

0.148

 One-vessel disease, n (%)

167 (20.9)

92 (21.4)

75 (20.3)

0.698

 Two-vessel disease, n (%)

287 (36.0)

163 (38.0)

124 (33.6)

0.197

 Three-vessel disease, n (%)

344 (43.1)

174 (40.6)

170 (46.1)

0.117

 Chronic total occlusion, n (%)

117 (14.7)

55 (12.8)

62 (16.8)

0.113

 Diffuse lesion, n (%)

237 (29.7)

123 (28.7)

114 (30.9)

0.493

 Bifurcation lesion, n (%)

186 (23.3)

93 (21.7)

93 (25.2)

0.240

 In-stent restenosis, n (%)

58 (7.3)

28 (6.5)

30 (8.1)

0.384

 SYNTAX score

12.0 ± 5.5

11.6 ± 5.5

12.6 ± 5.6

0.010

Procedural results

 Target vessel territory, n (%)

  LM

25 (3.1)

14 (3.3)

11 (3.0)

0.819

  LAD

513 (64.3)

274 (63.9)

239 (64.8)

0.791

  LCX

335 (42.0)

185 (43.1)

150 (40.7)

0.480

  RCA

398 (49.9)

211 (49.2)

187 (50.7)

0.674

 DES implantation, n (%)

785 (98.4)

425 (99.1)

360 (97.6)

0.163

 DCB use, n (%)

15 (1.9)

5 (1.2)

10 (2.7)

0.109

 Complete revascularization, n (%)

414 (51.9)

229 (53.4)

185 (50.1)

0.360

 Number of stents

2.1 ± 1.3

2.1 ± 1.3

2.1 ± 1.3

0.700

  1. The groups were stratified by the optimal cutoff point of TyG index determined by ROC curve analysis
  2. Italic values indicate statistically significant associations
  3. BMI body mass index, SBP systolic blood pressure, DBP diastolic blood pressure, CAD coronary artery disease, MI myocardial infarction, PCIpercutaneous coronary intervention, PVD peripheral vascular disease, TGs triglycerides, TC total cholesterol, LDL-C low-density lipoprotein cholesterol, HDL-C high-density lipoprotein cholesterol, hs-CRP high-sensitivity C-reactive protein, eGFR estimated glomerular filtration rate, FBG fasting blood glucose, HbA1c glycosylated hemoglobin A1c, TyG triglyceride glucose, LVEF left ventricular ejection fraction, UA unstable angina, NSTEMI non-ST-segment elevation myocardial infarction, ACEI angiotensin converting enzyme inhibitor, ARB angiotensin receptor blocker, DAPT dual antiplatelet therapy, LM left main artery, SYNTAX synergy between PCI with taxus and cardiac surgery, LAD left anterior descending artery, LCX left circumflex artery, RCA right coronary artery, DES drug-eluting stent, DCB drug-coated balloon