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TyG-NLR combined index associated with all-cause mortality in heart failure patients

TyG-NLR combined index associated with all-cause mortality in heart failure patients
Photo by Brett Jordan / Unsplash
Key Takeaway
Consider that a higher TyG-NLR index may be associated with mortality in heart failure, but validation is needed.

This was a retrospective cohort study of 1,063 patients with heart failure admitted to the First Affiliated Hospital of Kunming Medical University. The study compared outcomes between a low TyG-NLR group and a high TyG-NLR group, with the division based on the median of the TyG-NLR index. The primary outcome was all-cause mortality.

The main results were not reported in the provided data. The study did not report follow-up duration, specific mortality rates, hazard ratios, confidence intervals, or p-values for the association between TyG-NLR and mortality.

Safety and tolerability data were not reported. No adverse events, serious adverse events, or discontinuations were described.

A key limitation noted is that no prior studies have explored the predictive value of the TyG index combined with the NLR (TyG-NLR) for all-cause mortality in patients with heart failure. The study's single-center, retrospective design limits generalizability, and the lack of reported outcome data prevents definitive conclusions.

Given the absence of reported outcome data and the exploratory nature of this novel index, the clinical relevance for practice is not established. The findings should be considered hypothesis-generating only.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
BackgroundThe triglyceride–glucose (TyG) index and the neutrophil–lymphocyte ratio (NLR) are independent prognostic factors in patients with heart failure, but no studies have explored the predictive value of the TyG index combined with the NLR (TyG-NLR) for all-cause mortality in patients with heart failure.MethodsA total of 1,063 patients with HF admitted to the First Affiliated Hospital of Kunming Medical University from January 2017 to October 2021 were enrolled in the study. Based on the median of TyG-NLR, patients were divided into a low TyG-NLR group (TyG-NLR 
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