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The C-Reactive Protein-Triglyceride Glucose Index and Incidence of Cardiovascular Disease Among Individuals with
Yin Wang1, Jie Luo1, Zhaofu Tan2
1Postdoctoral Research Station , Bishan Hospital of Chongqing Medical University, Chongqing, China.
Insights
The C-reactive protein-triglyceride glucose index (CTI) is linked to higher cardiovascular disease risks in hypertensive individuals. Elevated CTI predicts increased chances of coronary heart disease, stroke, atrial fibrillation, and heart failure.
Area of Science:
- Cardiovascular Medicine
- Biomarker Research
- Hypertension Management
Background:
- The C-reactive protein-triglyceride glucose index (CTI) combines inflammation and insulin resistance markers.
- Its association with cardiovascular disease (CVD) risk in hypertensive patients is not well-established.
Purpose of the Study:
- To investigate the relationship between CTI and incident CVD events in individuals with hypertension.
- To assess CTI as a potential predictive biomarker for CVD in this population.
Main Methods:
- Longitudinal analysis of 168,186 UK Biobank participants.
- Cox proportional hazards regression to evaluate associations between CTI and incident coronary heart disease (CHD), atrial fibrillation (AF), heart failure (HF), and stroke.
- Subgroup and sensitivity analyses were conducted to confirm findings.
Main Results:
- CTI demonstrated significant positive linear associations with incident CHD and stroke.
- Nonlinear associations were found between CTI and incident AF and HF.
- Elevated CTI levels were robustly linked to increased risks for all assessed CVD outcomes.
Conclusions:
- The CTI is a promising predictive marker for cardiovascular disease in individuals with hypertension.
- Higher CTI levels correlate with increased risks of major cardiovascular events, including CHD, AF, HF, and stroke.
Background:
The C-reactive protein-triglyceride glucose index (CTI) has recently been introduced as a novel composite biomarker that integrates inflammation and insulin resistance. However, the association between CTI and incident cardiovascular disease (CVD) in individuals with hypertension remains unclear.
Methods:
We included 168,186 participants from the UK Biobank in this longitudinal analysis. The primary outcomes were incident coronary heart disease (CHD), atrial fibrillation (AF), heart failure (HF), and stroke. Cox proportional hazards regression was performed to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for the associations between CTI and incident CVD outcomes.
Results:
In this study, CTI showed significant positive linear associations with CHD (HR, 1.19; 95% CI, 1.15 to 1.23) and stroke (HR, 1.14; 95% CI, 1.07 to 1.21), whereas nonlinear associations were observed for AF (HR, 1.08; 95% CI, 1.04 to 1.13) and HF (HR, 1.36; 95% CI, 1.28 to 1.44) among participants with hypertension. Furthermore, subgroup and sensitivity analyses confirmed the robustness of these associations.
Conclusion:
Our findings showed that elevated CTI levels were robustly associated with increased risks of CHD, AF, HF, and stroke, suggesting that CTI may serve as a promising predictive marker for CVD in individuals with hypertension.
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