RELATIONSHIP BETWEEN TRIGLYCERIDE - GLUCOSE INDEX AND IN-HOSPITAL OUTCOMES IN ELDERLY PATIENTS WITH ACUTE CORONARY SYNDROME

Huân Nguyễn Thanh, Phúc Trần Thiên, Nghĩa Nguyễn Thượng, Bình Phạm Hòa

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Abstract

Objective: Predictors of adverse cardiovascular events in acute coronary syndrome are crucial in clinical practice since coronary artery disease is the leading cause of death worldwide. Subjects and Methods: Patients ≥ 60 years old, hospitalized for acute coronary syndrome at the Department of Interventional Cardiology, Cho Ray Hospital from September 2024 to December 2024. Results: In 165 subjects studied from September 2024 to December 2024 at the Department of Interventional Cardiology, Cho Ray Hospital. The TyG index with cut off > 9.0 can predict major adverse cardiovascular events with a sensitivity and specificity of 62.39% and 35.71%, respectively, 95% CI (0.382 - 0.571). In the elderly, internal use of MACE events was higher in the “high TyGi” group than in the “low TyGi” group (62.39% vs. 37.61%). The strong positive correlation between the TyG index and the degree of stenosis of coronary artery lesions by the Gensini score was statistically significant with p=0.031, 95% CI (0.803-16.784). Conclusion: TyG may not be a useful marker for predicting in-hospital prognosis in patients diagnosed with ACS. However, larger sample sizes, longer follow-up periods, and multicenter studies are needed to confirm our findings.

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References

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