三甘-葡萄糖指数与急性心肌梗塞之间的关联:回顾性病例对照研究
Alfredo Isaí Rojo Mendoza1, Jorge Arturo Blanco Olivas1
1Department of Internal Medicine, Hospital General Regional No. 66, Instituto Mexicano del Seguro Social, Ciudad Juárez, MEX.
Cureus
|February 16, 2026
概括
较高的甘油三糖 (TyG) 指数与住院墨西哥患者急性心肌梗塞 (AMI) 的风险更高有关. 这种可访问的标记物可能有助于识别心血管风险增加的个体.
科学领域:
- 心脏病学 心脏病学
- 代谢综合征是代谢综合征的一种.
- 生物标志物 生物标志物
背景情况:
- 急性心肌梗塞 (AMI) 是一个主要的全球健康问题.
- 胰岛素抵抗是动脉样硬化和冠状动脉疾病的关键因素.
- 甘油三糖指数 (TyG) 是一种已知的胰岛素耐药性的标志物.
研究的目的:
- 调查入院墨西哥患者的TyG指数和AMI之间的关联.
- 评估TyG指数作为该人群中AMI的潜在预测指标.
主要方法:
- 对288名住院患者 (144例AMI病例,144例对照) 的回顾性病例对照研究.
- 在入院后48小时内使用禁食葡萄糖和甘油三水平计算TyG指数.
- 包括ROC曲线和后勤回归在内的统计分析,以评估与AMI的关联.
主要成果:
- 与对照组相比,AMI患者的TyG指数值显著更高.
- 泰格指数显示了AMI的良好的差异性表现 (AUC = 0.84).
- 在调整心血管风险因素后,提升的TyG指数与AMI独立相关.
结论:
- 提升的TyG指数与墨西哥住院患者的AMI独立相关.
- 泰格指数可以作为一种有价值和可访问的代谢标记,用于识别增加的AMI风险.
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