Evidence map›Paper›PMID 42274097›Full record

ArticleClinical cardiology2026

Association of the TyG Index, Cardiometabolic Index, and Epicardial Adipose Tissue With Coronary Artery Disease.

Jia Min, Zhai Shumei, Zuo Yuqiang, Yin Yuling, Yang Xu, Xu Lei, Gao Zhihong

Abstract read
In one paragraph

Article in Clinical cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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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. Article
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

7 authors.

Jia MinDepartment of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Zhai ShumeiDepartment of Ultrasound, North Campus, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Zuo YuqiangDepartment of Physical Examination Center, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Yin YulingDepartment of Physical Examination Center, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Yang XuDepartment of Physical Examination Center, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Xu LeiDepartment of Cardiology, Shijiazhuang People's Hospital, Shijiazhuang, Hebei, People's Republic of China.
Gao ZhihongDepartment of Physical Examination Center, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.ORCID https://orcid.org/0000-0003-0136-6621

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMetabolic dysregulation and adiposity-related alterations contribute to coronary atherosclerosis, yet the interrelations among cardiometabolic markers and epicardial adipose tissue index (EATi) remain unclear. This study aimed to investigate the associations of the triglyceride-glucose (TyG) index, cardiometabolic index (CMI), and EATi with coronary artery disease (CAD), and to explore potential metabolic-adiposity pathways.

methodsA total of 120 patients with CAD and 60 age- and sex-matched controls were included. Clinical and biochemical data were collected. The TyG index and CMI were calculated, and EAT volume (EATV) was quantified by coronary computed tomography angiography (CCTA) and indexed to body surface area (EATi). Associations among variables were assessed using correlation analysis and multivariable logistic regression. Mediation and receiver operating characteristic (ROC) analyses were performed to assess potential pathways and diagnostic performance.

resultsFasting glucose, systolic blood pressure, triglycerides, TyG, CMI, and EATi were significantly higher in the CAD group (all p < 0.05). TyG (OR = 2.688, p = 0.002), CMI (OR = 3.339, p = 0.005), and EATi (OR = 2.284, p = 0.002) were independently associated with CAD. Mediation analysis demonstrated a significant indirect effect via CMI, whereas no mediation effect was observed for EATi. Combined assessment of TyG, CMI, and EATi demonstrated improved diagnostic performance for CAD (AUC = 0.847).

conclusionThe combined evaluation of TyG, CMI, and EATi improves the identification of CAD. CMI mediates the association between TyG and CAD, while EATi independently contributes to CAD risk, suggesting distinct metabolic and adiposity-related mechanisms.

Indexed as

AdiposityBlood GlucoseCoronary Artery DiseaseEpicardial Adipose TissueTriglyceridesAgedBiomarkersComputed Tomography AngiographyCoronary AngiographyFemaleHumansMaleMiddle AgedPericardiumRisk FactorsROC CurveBiomarkersBlood GlucoseTriglyceridescardiometabolic indexcoronary artery diseaseepicardial adipose tissuemediation analysistriglyceride‐glucose index

Identifiers

PMID42274097
PMCPMC13255140

What Socratic holds

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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.