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Association between triglyceride-glucose index and arterial stiffness reflected by carotid pulse-wave velocity in stage 1 hypertension and individuals with normal/elevated blood pressure

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机构: [1]Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang, Liaoning, China. [2]Department of Cardiovascular Ultrasound & Noninvasive Cardiology, Sichuan Academy of Medical Sciences &amp Sichuan Provincial People's Hospital, Chengdu, Sichuan, China. [3]Health Medical Department, Dalian Municipal Central Hospital, Dalian, Liaoning, China. [4]Department of Ultrasound, The Third People's Hospital of Zhengzhou, Zhengzhou, Henan, China. [5]Department of Ultrasound Diagnosis, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China. [6]Department of Ultrasound Diagnosis, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. [7]Department of Ultrasound, Affiliated Hospital of Yan'an University, Yan'an, Shanxi, China. [8]Ultrasound Department, Central Hospital of Chongqing Three Gorges, Chongqing, China. [9]Medical Technology Department, Guangdong Second Traditional Chinese Medicine Hospital, Guangzhou, Guangdong, China. [10]Department of Ultrasound, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China. [11]Ultrasonic Department, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong, China. [12]Department of Cardiac Ultrasound, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China. [13]Department of Ultrasound, Xinxiang Central Hospital, Xinxiang, Henan, China. [14]Department of Ultrasound, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China. [15]Ultrasonic Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China. [16]Ultrasonography Department, Henan Provincial People's Hospital, Zhengzhou, Henan, China. [17]Department of Medical Ultrasound, The Central Hospital of Wuhan, Wuhan, Hubei, China. [18]Department of Ultrasound, Hebei General Hospital, Shijiazhuang, Hebei, China. [19]Department of Ultrasound, The Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning, China. [20]Department of Medical Ultrasound, Geriatric Hospital of Nanjing Medical University & Jiangsu Provincial Geriatric Hospital, Nanjing, Jiangsu, China. [21]Ultrasonography Department, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China. [22]Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
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关键词: arterial stiffness stage 1 hypertension triglyceride-glucose index ultrafast pulse-wave velocity

摘要:
Evidence of the triglyceride-glucose (TyG) index as an independent predictor of arterial stiffness in stage 1 hypertension patients is scarce. This study aimed to explore the association between TyG index and arterial stiffness in this population. A total of 1041 individuals from 32 centers with normal/elevated blood pressure (BP, <130/80 mmHg; 345 men (33%); median age, 37 years) and 585 stage 1 hypertension patients (BP ≥130/80 and <140/90 mmHg; 305 men (52%); median age, 47 years) were prospectively enrolled. Arterial stiffness was determined by measuring carotid ultrafast pulse-wave velocity (ufPWV). TyG index was calculated as ln (fasting triglyceride (TG) × fasting blood glucose/2). Patients with a higher TyG index tended to have higher ufPWV. The TyG index was positively associated with ufPWV at the end of systole in stage 1 hypertension patients after adjusting for confounding factors (β for per unit .48), and restricted cubic spline analysis confirmed a linear association. Subgroup analyses in terms of age, sex, and body mass index yielded similar results. However, no significant relationship was observed between the TyG index and ufPWV in the population with normal/elevated BP. The fully adjusted β between ufPWV and the TyG index was higher than the TG/high-density lipoprotein cholesterol ratio, TG, and pulse pressure. In conclusion, patients with a higher TyG index had greater arterial stiffness, and the TyG index independently and positively correlated with arterial stiffness in stage 1 hypertension patients. The TyG index may provide a simple and reliable marker to monitor arterial stiffness in hypertensive patients.© 2023 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 外周血管病
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 外周血管病
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出版当年[2021]版:
Q3 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q2 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang, Liaoning, China.
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通讯机构: [1]Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang, Liaoning, China. [2]Department of Cardiovascular Ultrasound & Noninvasive Cardiology, Sichuan Academy of Medical Sciences &amp Sichuan Provincial People's Hospital, Chengdu, Sichuan, China. [22]Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China. [*1]Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang 110001, Liaoning Province, China. [*2]Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China. [*3]Department of Cardiovascular Ultrasound & Noninvasive Cardiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu 610072, Sichuan Province, China.
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