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Published on: January 28, 2020
Association between the C-reactive protein-triglyceride-glucose index and major adverse cardiovascular events in
Feilong Shao1, Yazhao Sun2, Chunlan Bai2
1Department of General Practice, Huabei Petroleum Administration Bureau General Hospital, Cangzhou, Hebei, China.
Insights
The C-reactive protein-triglyceride-glucose index (CTI) predicts adverse cardiovascular events after percutaneous coronary intervention (PCI). Higher CTI levels indicate increased risk, highlighting its importance in patient management post-PCI.
Area of Science:
- Cardiovascular Medicine
- Biomarkers
- Metabolic Syndrome
Background:
- Inflammation and insulin resistance are key drivers of atherosclerosis.
- The combined impact of C-reactive protein (CRP) and triglyceride-glucose index (TyG) on major adverse cardiovascular events (MACEs) is not well understood.
- The novel C-reactive protein-triglyceride-glucose index (CTI) integrates these factors.
Purpose of the Study:
- To evaluate the association between the CTI and MACEs in patients undergoing percutaneous coronary intervention (PCI).
- To assess the predictive value of CTI for adverse cardiovascular outcomes following PCI.
Main Methods:
- Retrospective analysis of 2,610 patients who underwent PCI.
- Utilized survival analysis, Cox regression, restricted cubic splines (RCS), and ROC curves.
- Performed subgroup and sensitivity analyses to validate findings.
Main Results:
- 459 participants experienced MACEs during follow-up.
- CTI was identified as an independent predictor of adverse outcomes.
- A non-linear relationship was observed between CTI and the primary endpoint, with good predictive ability demonstrated.
Conclusions:
- Pre-PCI CTI levels are significantly associated with adverse cardiovascular outcomes.
- CTI serves as a valuable prognostic marker for patients undergoing PCI.
Background:
The interaction between inflammation and insulin resistance is a key driver of atherosclerosis. However, the combined effect of C-reactive protein (CRP) and triglyceride-glucose index (TyG) on the risk of major adverse cardiovascular events (MACEs) remains unclear. This study aims to evaluate the association between the C-reactive protein-triglyceride-glucose index (CTI) and major adverse cardiovascular events following percutaneous coronary intervention (PCI).
Methods:
Retrospective data from 2,610 patients who underwent PCI were collected. The association between the CTI and the risk of adverse outcomes was evaluated using survival analysis, Cox regression, restricted cubic splines (RCS), time-dependent receiver operating characteristic (ROC) curves, subgroup analysis, and sensitivity analysis.
Results:
During the follow-up period, 459 participants experienced MACEs. The incidence of adverse outcomes differed significantly across CTI levels, and Cox regression analysis indicated that CTI is an independent predictor. RCS analysis showed a non-linear relationship between CTI and the primary endpoint, and a linear relationship with the secondary endpoint. CTI demonstrated good predictive ability for adverse outcomes, and the results were validated by subgroup and sensitivity analyses, confirming their stability.
Conclusion:
Pre-PCI CTI levels are significantly associated with adverse outcome.
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