Evidence map›Paper›PMID 36890516›Full record

ArticleLipids in health and disease2023

Association between triglyceride glucose index and subclinical left ventricular systolic dysfunction in patients with type 2 diabetes.

Yanyan Chen, Jianfang Fu, Yi Wang, Ying Zhang, Min Shi, Cheng Wang, Mengying Li, Li Wang, Xiangyang Liu, Shengjun Ta and 4 more

Abstract read
In one paragraph

Article in Lipids in health and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Yanyan ChenDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Jianfang FuDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Yi WangDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Ying ZhangDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Min ShiDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Cheng WangDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Mengying LiDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Li WangDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Xiangyang LiuDepartment of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China.
Shengjun TaDepartment of Ultrasound, Xijing Hospital, Air Force Medical University, Xi'an, Shannxi, 710032, China.
Liwen LiuDepartment of Ultrasound, Xijing Hospital, Air Force Medical University, Xi'an, Shannxi, 710032, China.
Zeping LiNanchang University Queen Mary School, Nanchang, 330038, China.
Xiaomiao Li *Department of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China. xiaomiao@fmmu.edu.cn.
Jie Zhou *Department of Endocrinology, Xijing Hospital, Air Force Medical University, 710032, Xi'an, Shaanxi, China. zhoujie@fmmu.edu.cn.

Funding

the National Natural Science Foundation of China 82070839 to J.Z.the Natural Science Basic Research Program of Shaanxi, China 2020JZ-31 to J.Z.
6 · The paper itself

Abstract

backgroundThe triglyceride glucose (TyG) index has been considered a new biomarker for the diagnosis of angiocardiopathy and insulin resistance. However, the association of the TyG index with subclinical left ventricular (LV) systolic dysfunction still lacks comprehensive exploration. This study was carried out to examine this relationship in patients with type 2 diabetes mellitus (T2DM).

methodsA total of 150 T2DM patients with preserved LV ejection fraction (LVEF ≥ 50%) from June 2021 to December 2021 were included in this study. The subclinical LV function was evaluated through global longitudinal strain (GLS), with the predefined GLS < 18% as the cutoff for subclinical LV systolic dysfunction. The TyG index calculation was obtained according to ln (fasting triglycerides (mg/dL) × fasting glucose (mg/dL)/2), which was then stratified into quartiles (TyG index-Q).

resultsAnalyses of clinical characteristics in the four TyG indexes-Q (Q1 (TyG index ≤ 8.89) n = 38, Q2 (8.89 < TyG index ≤ 9.44) n = 37, Q3 (9.44 < TyG index ≤ 9.83) n = 38, and Q4 (TyG index > 9.83) n = 37) were conducted. A negative correlation of the TyG index with GLS (r = -0.307, P < 0.001) was revealed according to correlation analysis. After gender and age were adjusted in multimodel logistic regression analysis, the higher TyG index (OR 6.86; 95% CI 2.44 to 19.30; P < 0.001, Q4 vs Q1) showed a significant association with GLS < 18%, which was still maintained after further adjustment for related clinical confounding factors (OR 5.23, 95% CI 1.12 to 24.51, p = 0.036, Q4 vs Q1). Receiver operator characteristic analysis indicated a diagnostic capacity of the TyG index for GLS < 18% (area under curve: 0.678; P < 0.001).

conclusionsA higher TyG index had a significant association with subclinical LV systolic dysfunction in T2DM patients with preserved ejection fraction, and the TyG index may have the potential to exert predictive value for myocardial damage.

Indexed as

Diabetes Mellitus, Type 2Ventricular Dysfunction, LeftBiomarkersBlood GlucoseGlucoseHumansRisk FactorsTriglyceridesBiomarkersBlood GlucoseGlucoseTriglyceridesGlobal longitudinal strainInsulin resistanceLeft ventricular systolic functionTriglyceride glucose indexType 2 diabetes mellitus

Identifiers

PMID36890516
PMCPMC9993628

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.