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‹ Thu · 26 Mar 2026
Near-term implementable finding

C-reactive protein-triglyceride-glucose index is an independent predictor of cardiovascular mortality in patients with metabolic syndrome

A new blood marker combining inflammation and insulin resistance better predicts heart disease deaths in people with metabolic syndrome, sharpening risk assessment.

In 10,421 US adults with metabolic syndrome followed for up to 20 years, the novel CRP-triglyceride-glucose composite index (CTI) independently predicted cardiovascular mortality, with the highest quartile conferring a 60% excess risk. This combined inflammation-insulin resistance marker may offer improved risk stratification beyond standard lipid/glucose measures for high-risk cardiometabolic patients.

What the study was

Study design
Retrospective cohort study (NHANES database, 1999–2010; mortality follow-up through 2019)
Population
US adults with metabolic syndrome (≥3 criteria), aged ≥20 years from NHANES 1999–2010
Sample size
10421
Category
Prevention
Maturity
Validated
Journal
Journal of Clinical Lipidology

Why it surfaced

Large population-based cohort (n=10,421) with long follow-up; CTI is a calculable composite marker with potential for immediate clinical application in MetS risk stratification. Retrospective NHANES design and novel composite index limit causality attribution.

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