Evidence map›Paper›PMID 38762473›Full record

ArticleCardiovascular diabetology2024

Association of triglyceride glucose index and triglyceride glucose-body mass index with sudden cardiac arrest in the general population.

Shuijing Zhang, Wenbing Liu, Bin Xu, Shuguang Wang, Zhongyan Du, Wenke Cheng

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

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  20. Evaluation of the effects of short-term PMBMC cardiovascular disorders · 2025
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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

6 authors.

Shuijing Zhang *The Affiliated Rehabilitation Hospital (Zhejiang Rehabilitation Medical Center)Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Wenbing Liu *The Third Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Bin Xu *The Affiliated Rehabilitation Hospital (Zhejiang Rehabilitation Medical Center)Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Shuguang WangZhejiang Greentown Cardiovascular Hospital, Hangzhou, 310053, China.
Zhongyan DuSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, China. duzhongyan@zcmu.edu.cn.
Wenke ChengMedical Faculty, University of Leipzig, Liebigstr 27, Leipzig, 04103, Germany. cwk2517@163.com.

Funding

Natural Science Foundation of Zhejiang Province LY21H290006Wellcome Trust
6 · The paper itself

Abstract

backgroundInsulin resistance (IR) significantly contributes to cardiovascular disease (CVD) development. Triglyceride glucose (TyG) index and triglyceride glucose-body mass index (TyG-BMI) are recognised as convenient proxies for IR. However, their relationship with sudden cardiac arrest (SCA) remains unclear.

methodsThis prospective cohort analysis included 355,242 UK Biobank participants with available TyG index and TyG-BMI data and no history of CVD. Cox proportional risk models assessed the association between the TyG index, TyG-BMI and SCA risk. Additionally, Accelerated Failure Time (AFT) models were employed to investigate the timing of SCA onset. The impact of dynamic increases in TyG index and TyG-BMI levels on SCA risk was examined using restricted cubic spline.

resultsOver a median follow-up period of 165.4 months (interquartile range 156.5-174 months), 1,622 cases of SCA were recorded. Multivariate Cox regression analysis revealed a 9% increase in SCA risk per standard deviation increase in TyG index (adjusted hazard ratio (aHR) = 1.09, 95% confidence interval (CI) 1.04-1.15) and an 14% increase per standard deviation increase in TyG-BMI (aHR 1.14, 95% CI 1.09-1.2). AFT models indicated earlier median times to SCA occurrence with increasing quintiles of TyG index and TyG-BMI compared to the lowest quintile (P for trend < 0.05). SCA risk was linearly (P = 0.54) and non-linearly (P = 0.007) correlated with gradual increases in TyG index and TyG-BMI levels, respectively. Sex-stratified analyses showed stronger associations in women.

conclusionsHigher TyG index and TyG-BMI levels are associated with an increased SCA risk and earlier onset, particularly in women.

Indexed as

BiomarkersBlood GlucoseBody Mass IndexDeath, Sudden, CardiacInsulin ResistanceTriglyceridesAdultAgedFemaleHumansMaleMiddle AgedPrognosisProspective StudiesRisk AssessmentRisk FactorsBiomarkersBlood GlucoseTriglyceridesCohort studyInsulin resistanceSudden cardiac arrestTriglyceride glucoseTriglyceride glucose-body mass index

Identifiers

PMID38762473
PMCPMC11102616

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.