Association between the C-reactive protein–triglyceride–glucose index and coronary heart disease in metabolic dysfunction-associated steatotic liver disease patients: a cross-sectional study - Report - MDSpire

Association between the C-reactive protein–triglyceride–glucose index and coronary heart disease in metabolic dysfunction-associated steatotic liver disease patients: a cross-sectional study

  • By

  • Kaiyue Shen

  • Jiajia Zhao

  • Kunkun Li

  • Lidong Xu

  • Huili Wu

  • July 7, 2026

  • 0 min

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Clinical Report: Link Between CTI and Coronary Heart Disease in MASLD Patients

Overview

This study investigates the association between the C-reactive protein–triglyceride–glucose index (CTI) and coronary heart disease (CHD) in patients with metabolic dysfunction-associated steatotic liver disease (MASLD).

Background

Coronary heart disease (CHD) is a significant public health concern, particularly in patients with metabolic dysfunction-associated steatotic liver disease (MASLD), which affects over 30% of adults globally. Identifying effective biomarkers for assessing CHD risk in this population is crucial.

Data Highlights

MeasureValue
Patients with CHD387 (63.3%)
Odds Ratio for CTI and CHD2.48 (95% CI 1.69–3.63, P < 0.001)
AUC for CTI0.845 (95% CI 0.815–0.876)

Key Findings

  • CTI is associated with the presence of CHD in MASLD patients.
  • Higher CTI levels correspond to greater severity of coronary stenosis.
  • The association between CTI and CHD is stronger in patients aged ≥55 years.
  • CTI demonstrates better discriminative ability for CHD compared to other insulin resistance indices.

Clinical Implications

The findings indicate that CTI may be relevant for assessing CHD risk in patients with MASLD.

Conclusion

The study highlights the association between CTI and CHD in MASLD patients.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
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  5. AASLD, AASLD, 2025 -- AASLD Announces Update to Metabolic Dysfunction‐Associated Steatotic Liver Disease (MASLD) Practice Guidance
  6. American College of Cardiology, JACC, 2025 -- Inflammation and Cardiovascular Disease: 2025 ACC Scientific Statement
  7. AASLD Announces Update to Metabolic Dysfunction‐Associated Steatotic Liver Disease (MASLD) Practice Guidance | AASLD
  8. Inflammation and Cardiovascular Disease: 2025 ACC Scientific Statement: A Report of the American College of Cardiology | JACC
  9. Triglyceride-glucose index and the risk of major adverse cardiovascular events in patients with coronary artery disease: A systematic review and meta-analysis - PubMed

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