Page last updated: 2024-10-30

metformin and Acute Coronary Syndrome

metformin has been researched along with Acute Coronary Syndrome in 15 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Acute Coronary Syndrome: An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.

Research Excerpts

ExcerptRelevanceReference
"Metformin-associated lactic acidosis (MALA) is a rare but life-threatening condition."8.12A patient with severe metformin-associated lactic acidosis complicated by acute coronary syndrome: a case report. ( Ahmed, A; Gudowski, C; Mammadova, N; Pliquett, RU; Shkodivskyi, P; Soukup, J, 2022)
"Liraglutide seems to reduce GV in the acute phase of acute coronary syndrome, and patients achieved optimal control with a low incidence of hypoglycemia."7.96Glycemic variability in type 2 diabetes mellitus and acute coronary syndrome: liraglutide compared with insulin glargine: a pilot study. ( Arnau Vives, MA; Ballesteros Martin-Portugués, A; Catalá Gregori, A; Caudet Esteban, J; Cerveró Rubio, A; Del Olmo-García, MI; Hervás Marín, D; Merino-Torres, JF; Penalba Martínez, M, 2020)
"No randomized controlled trials evaluating metformin therapy efficacy in patients with type 2 diabetes mellitus (DM) and acute coronary syndrome (ACS) have been reported."7.91Metformin was associated with lower all-cause mortality in type 2 diabetes with acute coronary syndrome: A Nationwide registry with propensity score-matched analysis. ( Chen, KY; Chong, JT; Hsieh, IC; Hsieh, MY; Hsu, CN; Jong, CB; Lai, CL; Lin, WS; Shyu, KG; Su, FY; Ueng, KC; Voon, WC; Wu, CC, 2019)
"Patients with type 2 diabetes and recent acute coronary syndrome were randomized to alogliptin or placebo and standard of care."5.27Alogliptin in Patients with Type 2 Diabetes Receiving Metformin and Sulfonylurea Therapies in the EXAMINE Trial. ( Bergenstal, RM; Cannon, CP; Heller, SR; Howitt, H; Khunti, K; White, WB, 2018)
"Metformin-associated lactic acidosis (MALA) is a rare but life-threatening condition."4.12A patient with severe metformin-associated lactic acidosis complicated by acute coronary syndrome: a case report. ( Ahmed, A; Gudowski, C; Mammadova, N; Pliquett, RU; Shkodivskyi, P; Soukup, J, 2022)
"Liraglutide seems to reduce GV in the acute phase of acute coronary syndrome, and patients achieved optimal control with a low incidence of hypoglycemia."3.96Glycemic variability in type 2 diabetes mellitus and acute coronary syndrome: liraglutide compared with insulin glargine: a pilot study. ( Arnau Vives, MA; Ballesteros Martin-Portugués, A; Catalá Gregori, A; Caudet Esteban, J; Cerveró Rubio, A; Del Olmo-García, MI; Hervás Marín, D; Merino-Torres, JF; Penalba Martínez, M, 2020)
"In patients with T2DM, SGLT2i as first-line treatment may be associated with decreased events of heart failure hospitalization, acute coronary syndrome, and all-cause mortality, compared with metformin as first-line treatment."3.96Sodium-glucose cotransporter 2 inhibitor versus metformin as first-line therapy in patients with type 2 diabetes mellitus: a multi-institution database study. ( Chang, CH; Chen, DY; Chen, SW; Chen, TH; Chu, PH; Li, YR; Lin, YS; Mao, CT; Sun, CC; Wu, M; Wu, VC, 2020)
"No randomized controlled trials evaluating metformin therapy efficacy in patients with type 2 diabetes mellitus (DM) and acute coronary syndrome (ACS) have been reported."3.91Metformin was associated with lower all-cause mortality in type 2 diabetes with acute coronary syndrome: A Nationwide registry with propensity score-matched analysis. ( Chen, KY; Chong, JT; Hsieh, IC; Hsieh, MY; Hsu, CN; Jong, CB; Lai, CL; Lin, WS; Shyu, KG; Su, FY; Ueng, KC; Voon, WC; Wu, CC, 2019)
"Higher risks for death (overall and due to cardiovascular disease) and heart failure were found for rosiglitazone compared to pioglitazone."3.77Risk of death and cardiovascular outcomes with thiazolidinediones: a study with the general practice research database and secondary care data. ( Gallagher, AM; Leufkens, HG; Seabroke, S; Smeeth, L; van Staa, TP, 2011)
"The DARE study shows that, in type 2 diabetes, good glycemic control during CR is an independent factor associated with gain in VO2 peak."2.80Influence of glycemic control on gain in VO2 peak, in patients with type 2 diabetes enrolled in cardiac rehabilitation after an acute coronary syndrome. The prospective DARE study. ( Bertrand, JH; Catargi, B; Douard, H; Feige, JM; Fischbach, M; Iliou, MC; Patois-Vergès, B; Simoneau-Robin, I; Vergès, B, 2015)
"Metformin was associated with younger age (p=0."1.62Use of Metformin and Platelet Reactivity in Diabetic Patients Treated with Dual Antiplatelet Therapy. ( Aimaretti, G; Caputo, M; Ceccon, C; De Luca, G; Pergolini, P; Rolla, R; Suryapranata, H; Verdoia, M, 2021)
"The effects of type 2 diabetes mellitus (T2DM) medications on secondary prevention after acute coronary syndrome (ACS) remain unclear."1.56Recurrent cardiovascular events in patients with newly diagnosed acute coronary syndrome: Influence of diabetes and its management with medication. ( Asano, T; Komaru, Y; Suzuki, L; Takeuchi, T; Urayama, KY, 2020)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (6.67)29.6817
2010's8 (53.33)24.3611
2020's6 (40.00)2.80

Authors

AuthorsStudies
Mammadova, N1
Soukup, J1
Shkodivskyi, P1
Gudowski, C1
Ahmed, A1
Pliquett, RU1
Komaru, Y1
Takeuchi, T1
Suzuki, L1
Asano, T1
Urayama, KY1
Del Olmo-García, MI1
Hervás Marín, D1
Caudet Esteban, J1
Ballesteros Martin-Portugués, A1
Cerveró Rubio, A1
Arnau Vives, MA1
Catalá Gregori, A1
Penalba Martínez, M1
Merino-Torres, JF1
Wróbel, M1
Rokicka, D1
Zdrojewski, T1
Gierlotka, M1
Gąsior, M1
Strojek, K1
Chen, TH1
Li, YR1
Chen, SW1
Lin, YS1
Sun, CC1
Chen, DY1
Mao, CT1
Wu, M1
Chang, CH1
Chu, PH1
Wu, VC1
White, WB1
Heller, SR1
Cannon, CP1
Howitt, H1
Khunti, K1
Bergenstal, RM1
Verdoia, M1
Pergolini, P1
Rolla, R1
Ceccon, C1
Caputo, M1
Aimaretti, G1
Suryapranata, H1
De Luca, G1
Jong, CB1
Chen, KY1
Hsieh, MY1
Su, FY1
Wu, CC1
Voon, WC1
Hsieh, IC1
Shyu, KG1
Chong, JT1
Lin, WS1
Hsu, CN1
Ueng, KC1
Lai, CL1
Leibovitz, E1
Gottlieb, S1
Goldenberg, I1
Gevrielov-Yusim, N1
Matetzky, S1
Gavish, D1
Vergès, B1
Patois-Vergès, B1
Iliou, MC1
Simoneau-Robin, I1
Bertrand, JH1
Feige, JM1
Douard, H1
Catargi, B1
Fischbach, M1
Zghebi, SS1
Steinke, DT1
Rutter, MK1
Emsley, RA1
Ashcroft, DM1
Alonso-García, A1
García-Soidán, FJ1
Lisbona-Gil, A1
Gallagher, AM1
Smeeth, L1
Seabroke, S1
Leufkens, HG1
van Staa, TP1
Serebruany, VL1
Atar, D1
García-Moll, X1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Cardiovascular Outcomes Following Treatment With Alogliptin in Addition to Standard of Care in Subjects With Type 2 Diabetes and Acute Coronary Syndrome[NCT00968708]Phase 35,380 participants (Actual)Interventional2009-09-30Completed
Effect of Strict Glycemic Control on Improvement of Exercise Capacities (VO2 Peak, Peak Workload After Cardiac Rehabilitation, in Patients With Type 2 Diabetes Mellitus With Coronary Artery Disease.[NCT00354237]60 participants (Actual)Interventional2005-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percentage of Participants With Primary Major Adverse Cardiac Events (MACE)

Primary Major Adverse Cardiac Events were defined as a composite of cardiovascular death, nonfatal myocardial infarction and nonfatal stroke; these events were adjudicated by an independent cardiovascular endpoints committee. (NCT00968708)
Timeframe: From randomization until the adjudication cut-off date of May 31 2013 (maximum time on study was 41 months).

Interventionpercentage of participants (Number)
Placebo11.8
Alogliptin11.3

Percentage of Participants With Secondary Major Adverse Cardiac Events (MACE)

Secondary MACE composite consisted of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, or urgent revascularization due to unstable angina; these events were adjudicated by an independent cardiovascular endpoint committee. (NCT00968708)
Timeframe: From randomization until the adjudication cut-of date of May 31 2013 (maximum time on study was 41 months).

Interventionpercentage of participants (Number)
Placebo13.4
Alogliptin12.7

Trials

2 trials available for metformin and Acute Coronary Syndrome

ArticleYear
Alogliptin in Patients with Type 2 Diabetes Receiving Metformin and Sulfonylurea Therapies in the EXAMINE Trial.
    The American journal of medicine, 2018, Volume: 131, Issue:7

    Topics: Acute Coronary Syndrome; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Drug Therapy

2018
Influence of glycemic control on gain in VO2 peak, in patients with type 2 diabetes enrolled in cardiac rehabilitation after an acute coronary syndrome. The prospective DARE study.
    BMC cardiovascular disorders, 2015, Jul-08, Volume: 15

    Topics: Acute Coronary Syndrome; Aged; Blood Glucose; Diabetes Mellitus, Type 2; Exercise Therapy; Female; F

2015

Other Studies

13 other studies available for metformin and Acute Coronary Syndrome

ArticleYear
A patient with severe metformin-associated lactic acidosis complicated by acute coronary syndrome: a case report.
    BMC nephrology, 2022, 05-06, Volume: 23, Issue:1

    Topics: Acidosis, Lactic; Acute Coronary Syndrome; Acute Kidney Injury; Bicarbonates; Diabetes Mellitus, Typ

2022
Recurrent cardiovascular events in patients with newly diagnosed acute coronary syndrome: Influence of diabetes and its management with medication.
    Journal of diabetes and its complications, 2020, Volume: 34, Issue:3

    Topics: Acute Coronary Syndrome; Aged; Cardiovascular Diseases; Cohort Studies; Diabetes Mellitus, Type 2; F

2020
Glycemic variability in type 2 diabetes mellitus and acute coronary syndrome: liraglutide compared with insulin glargine: a pilot study.
    The Journal of international medical research, 2020, Volume: 48, Issue:6

    Topics: Acute Coronary Syndrome; Adult; Blood Glucose; Diabetes Mellitus, Type 2; Female; Glycated Hemoglobi

2020
Metformin and cardiac injury after acute coronary syndrome in diabetic patients with no history of cardiovascular disease: data from the PL-ACS registry.
    Polish archives of internal medicine, 2020, 08-27, Volume: 130, Issue:7-8

    Topics: Acute Coronary Syndrome; Cardiovascular Diseases; Diabetes Mellitus; Humans; Metformin; Registries

2020
Sodium-glucose cotransporter 2 inhibitor versus metformin as first-line therapy in patients with type 2 diabetes mellitus: a multi-institution database study.
    Cardiovascular diabetology, 2020, 11-09, Volume: 19, Issue:1

    Topics: Acute Coronary Syndrome; Adult; Aged; Cardiovascular Diseases; Databases, Factual; Diabetes Mellitus

2020
Use of Metformin and Platelet Reactivity in Diabetic Patients Treated with Dual Antiplatelet Therapy.
    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 2021, Volume: 129, Issue:1

    Topics: Acute Coronary Syndrome; Adult; Aged; Blood Platelets; Comorbidity; Diabetes Mellitus; Dual Anti-Pla

2021
Metformin was associated with lower all-cause mortality in type 2 diabetes with acute coronary syndrome: A Nationwide registry with propensity score-matched analysis.
    International journal of cardiology, 2019, 09-15, Volume: 291

    Topics: Acute Coronary Syndrome; Aged; Aged, 80 and over; Diabetes Mellitus, Type 2; Female; Humans; Hypogly

2019
Sitagliptin pretreatment in diabetes patients presenting with acute coronary syndrome: results from the Acute Coronary Syndrome Israeli Survey (ACSIS).
    Cardiovascular diabetology, 2013, Mar-28, Volume: 12

    Topics: Acute Coronary Syndrome; Aged; Aged, 80 and over; Diabetes Mellitus, Type 2; Female; Humans; Hypogly

2013
Comparative risk of major cardiovascular events associated with second-line antidiabetic treatments: a retrospective cohort study using UK primary care data linked to hospitalization and mortality records.
    Diabetes, obesity & metabolism, 2016, Volume: 18, Issue:9

    Topics: Acute Coronary Syndrome; Aged; Angina, Unstable; Cardiovascular Diseases; Cohort Studies; Diabetes M

2016
[Treatment guidelines for hyperglycaemia in type 2 diabetes patients with stable chronic heart failure or ischemic cardiomyopathy without heart failure].
    Medicina clinica, 2010, May-08, Volume: 134, Issue:13

    Topics: Acute Coronary Syndrome; Algorithms; Consensus; Contraindications; Diabetes Mellitus, Type 2; Drug T

2010
Risk of death and cardiovascular outcomes with thiazolidinediones: a study with the general practice research database and secondary care data.
    PloS one, 2011, Volume: 6, Issue:12

    Topics: Acute Coronary Syndrome; Aged; Aged, 80 and over; Cardiovascular Diseases; Cohort Studies; Databases

2011
Viewpoint: Central adjudication of myocardial infarction in outcome-driven clinical trials--common patterns in TRITON, RECORD, and PLATO?
    Thrombosis and haemostasis, 2012, Volume: 108, Issue:3

    Topics: Acute Coronary Syndrome; Adenosine; Cardiovascular Diseases; Clinical Trials, Phase III as Topic; Co

2012
[Inflammation, atherosclerosis, classic cardiovascular risk factors, biostatistics, clinical significance. Where are we?].
    Revista espanola de cardiologia, 2007, Volume: 60, Issue:12

    Topics: Acute Coronary Syndrome; Atherosclerosis; Biometry; Dyslipidemias; Fluorobenzenes; Humans; Hydroxyme

2007