Evidence mapPaperPMID 41665555Full record

ReviewAnatolian journal of cardiology2026

Pathophysiological Insights and Prognostic Value of the Triglyceride-Glucose Index in Patients with Chronic Total Occlusion.

Rupak Desai, Abhishek Prasad, Jai Sivanandan Nagarajan, Ananth Guddeti, Navya Mandalapu, Darsh Tusharbhai Patel, Warda Shahnawaz, Sourabh Khatri, Abdul Aleem, Adil Sarvar Mohammed and 1 more

Abstract readReview
In one paragraph

Review in Anatolian journal of cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

11 authors.

Rupak DesaiIndependent Researcher, Outcomes Research, Atlanta, GA, USA.
Abhishek PrasadDepartment of Anesthesiology and Perioperative Medicine, MD Anderson Cancer Center, Houston, TX, USA.
Jai Sivanandan NagarajanDepartment of Medicine, SUNY Upstate Medical University, Syracuse, New York, USA.
Ananth GuddetiDepartment of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.
Navya MandalapuDepartment of Internal Medicine, Bronxcare Health Sciences, Bronx, NY, USA.
Darsh Tusharbhai PatelDepartment of Medicine, Mercy Catholic Medical Center, Darby, PA, USA.
Warda ShahnawazInternal Medicine, Mobile Infirmary Medical Center, USA.
Sourabh KhatriDepartment of Medicine, Independence Health System, Greensburg, PA, USA.
Abdul AleemDepartment of Pulmonary and Critical Care Medicine, Henry Ford Genesys Hospital Grand Blanc, Michigan, USA.
Adil Sarvar MohammedDepartment of Internal Medicine, Central Michigan University, Mt. Pleasant, MI, USA.
Muhammad Usman GhaniCentral Michigan University College of Medicine, Mt. Pleasant, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The triglyceride-glucose (TyG) index is a surrogate marker of insulin resistance (IR) asso-ciated with atherosclerosis, endothelial dysfunction, and cardiovascular disease (CVD). Chronic total occlusion (CTO) presents major clinical challenges, especially in patients undergoing percutaneous coronary intervention (PCI). This narrative review explores the role of the TyG index in predicting CTO development and adverse cardiovascu-lar outcomes. A literature review of studies assessing the association between the TyG index and CTO, PCI outcomes, and contrast-induced nephropathy (CIN) was conducted. Pathophysiological mechanisms linking IR, TyG, and CTO progression were evaluated, and the predictive utility of the TyG index in risk stratification and post-PCI complica-tions was analyzed. Multiple studies show that a higher TyG index is strongly associated with increased CTO risk, poor collateral circulation, CIN, and adverse outcomes after PCI. Elevated TyG values were independently predictive of impaired collateral formation in diabetic and non-diabetic patients, with stronger effects in metabolically vulnerable subgroups. Individuals with higher TyG levels had a greater likelihood of developing CIN, with analyses confirming its role as an independent predictor. Long-term prognosis in CTO patients was also worse with elevated TyG, with higher rates of major adverse car-diovascular events. The TyG index demonstrated consistent predictive capability com-pared with other metabolic markers, supporting its potential as a low-cost tool for risk stratification. The TyG index is a cost-effective biomarker for predicting adverse out-comes in CTO patients. Its incorporation into clinical assessment may improve early risk identification and support individualized PCI planning.

Indexed as

Blood GlucoseCoronary OcclusionTriglyceridesBiomarkersHumansPercutaneous Coronary InterventionPrognosisBiomarkersBlood GlucoseTriglycerides

Identifiers

PMID41665555
PMCPMC12979064

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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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.