Triglyceride-Glucose Indices and Left Ventricular Speckle Tracking in Predicting Coronary Artery Disease Severity
Comparative Assessment of Triglyceride-Glucose Indices and Left Ventricular Speckle Tracking in Predicting Coronary Artery Disease Severity: Insights From Gensini Scoring
1 other identifier
observational
508
1 country
1
Brief Summary
Our study specifically will address the value of modified triglyceride glucose indices versus left ventricular speckle tracking in prediction of severity of coronary artery disease assessed by Gensini score.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2025
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 30, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2025
CompletedFirst Submitted
Initial submission to the registry
July 3, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 3, 2025
CompletedFirst Posted
Study publicly available on registry
July 14, 2025
CompletedJuly 16, 2025
July 1, 2025
2 months
July 3, 2025
July 12, 2025
Conditions
Outcome Measures
Primary Outcomes (3)
triglyceride-glucose (TyG) index
predictive value of the triglyceride-glucose (TyG) index and its modified forms (TyG×BMI, TyG×WC, TyG, ×, W,Ht,R ) with global longitudinal strain (GLS) in assessing coronary artery disease (CAD) severity, as quantified by the Gensini score.
2 months
longitudinal strain (GLS)
Echocardiography parameter in assessing coronary artery disease (CAD) severity
2 months
Gensini score.
Score assessing coronary artery disease (CAD) severity
2 months
Interventions
Derived indices included: * Ty,G×B,M,I = TyG index × body mass index * TyG×W,C = TyG index × waist circumference * TyG×WH,tR = TyG index × waist-to-height ratio Quartile-based stratification was applied to each TyG-derived index.
Coronary Angiography and Gensini Scoring: All participants underwent standard diagnostic coronary angiography. CAD was categorized as one-, two-, or three-vessel disease based on the number of vessels with ≥50% stenosis. The severity of CAD was quantified using the Gensini score, which assigns a severity weight to each lesion depending on degree of stenosis and anatomical location. Final scores were calculated by summing weighted values across all coronary segments.
Eligibility Criteria
Two hundred adult patients with chronic stable angina and angiographically confirmed coronary artery disease (CAD) were enrolled.
You may qualify if:
- diagnosis of CAD with ≥50% stenosis in at least one major coronary artery.
You may not qualify if:
- Patients with acute coronary syndrome, arrhythmias, previous coronary interventions (PCI or CABG), or inability to undergo echocardiographic assessment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Damanhour Universitylead
- Tanta Universitycollaborator
Study Sites (1)
Rehab Hussein Werida
Damanhūr, Elbehairah, 31527, Egypt
Related Publications (3)
Siverio-Morales O, Mora-Fernandez C, Hernandez-Carballo C, Martin-Nunez E, Gonzalez-Luis A, Martin-Olivera A, Navarro-Gonzalez JF, Donate-Correa J. Predictive value of triglyceride-glucose index for the evaluation of coronary artery disease severity and occurrence of major adverse cardiovascular events. Am J Physiol Heart Circ Physiol. 2025 Jan 1;328(1):H14-H20. doi: 10.1152/ajpheart.00684.2024. Epub 2024 Nov 19.
PMID: 39560964BACKGROUNDLopez-Jaramillo P, Gomez-Arbelaez D, Martinez-Bello D, Abat MEM, Alhabib KF, Avezum A, Barbarash O, Chifamba J, Diaz ML, Gulec S, Ismail N, Iqbal R, Kelishadi R, Khatib R, Lanas F, Levitt NS, Li Y, Mohan V, Mony PK, Poirier P, Rosengren A, Soman B, Wang C, Wang Y, Yeates K, Yusuf R, Yusufali A, Zatonska K, Rangarajan S, Yusuf S. Association of the triglyceride glucose index as a measure of insulin resistance with mortality and cardiovascular disease in populations from five continents (PURE study): a prospective cohort study. Lancet Healthy Longev. 2023 Jan;4(1):e23-e33. doi: 10.1016/S2666-7568(22)00247-1. Epub 2022 Dec 12.
PMID: 36521498BACKGROUNDZhao S, Yu S, Chi C, Fan X, Tang J, Ji H, Teliewubai J, Zhang Y, Xu Y. Association between macro- and microvascular damage and the triglyceride glucose index in community-dwelling elderly individuals: the Northern Shanghai Study. Cardiovasc Diabetol. 2019 Jul 25;18(1):95. doi: 10.1186/s12933-019-0898-x.
PMID: 31345238BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eman Elshaikh, Ass. Prof.
Tanta University
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
July 3, 2025
First Posted
July 14, 2025
Study Start
April 30, 2025
Primary Completion
July 1, 2025
Study Completion
July 3, 2025
Last Updated
July 16, 2025
Record last verified: 2025-07
Data Sharing
- IPD Sharing
- Will not share