Abstract

Acute coronary syndrome (ACS) is currently most prevalent cause of mortality and morbidity worldwide and India. Asian Indians throughout the world have one of the highest incidences of premature coronary artery disease with clinical manifestations occurring almost ten years earlier than other populations. There is an increase in coronary heart disease (CAD) in past 60 years, from 1% to 10% in urban populations and <1% to 6% in rural populations. The present study was conducted to assess the relationship between severity and outcome of CAD with triglyceride glucose (TYG) index. Methods: The present study was an observational, analytical, prospective, single centre, hospital based study conducted from May 2020 to Oct 2021 at Department of Cardiology, N.R.S Medical College and Hospital, Kolkata India. Total 156 patients were included in this study. Result: In this study, it was found that in single vessel disease, the mean TyG index (mean ± S.D.) of patients was 4.6120 ± 0.2596. In Multi vessel disease, the mean TyG index (mean ± S.D.) of patients was 6.4546 ± 14.3391. Distribution of mean Glucose TG Index with number of vessels involved was statistically significant (p = 0.0240). Conclusion: The elevated TyG index was independently associated multivessel disease which was statistically significant. High TyG index had positive correlation with SYNTAX I and II score, number of drug eluting stents, total stent length and Killip class but correlation was not statistically significant.

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