Page last updated: 2024-10-30

metformin and Arrhythmias, Cardiac

metformin has been researched along with Arrhythmias, Cardiac 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.

Arrhythmias, Cardiac: Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction.

Research Excerpts

ExcerptRelevanceReference
"To determine whether the use of sulphonylurea monotherapy, compared with metformin monotherapy, is associated with an increased risk of ventricular arrhythmia (VA) among patients initiating pharmacotherapy for type 2 diabetes."8.31Sulphonylureas versus metformin and the risk of ventricular arrhythmias among people with type 2 diabetes: A population-based cohort study. ( Douros, A; Filion, KB; Islam, N; Reynier, P; Yu, OHY, 2023)
"Metformin has been shown to have various cardiovascular benefits beyond its antihyperglycemic effects, including a reduction in stroke, heart failure, myocardial infarction, cardiovascular death, and all-cause mortality."6.66Effects of metformin on atrial and ventricular arrhythmias: evidence from cell to patient. ( Chattipakorn, N; Chattipakorn, SC; Nantsupawat, T; Wongcharoen, W, 2020)
" Moreover, compared to diabetic untreated and metformin-treated animals, those treated with PAP1 had the lowest risk of developing the life-threatening arrhythmia Torsade de Pointes under cardiac challenge."4.31Kv1.3 Channel Blockade Improves Inflammatory Profile, Reduces Cardiac Electrical Remodeling, and Prevents Arrhythmia in Type 2 Diabetic Rats. ( Alquiza, A; Casis, O; Echeazarra, L; Fernández-López, V; Gallego, M; Rodríguez-de-Yurre, A; Zayas-Arrabal, J, 2023)
"To determine whether the use of sulphonylurea monotherapy, compared with metformin monotherapy, is associated with an increased risk of ventricular arrhythmia (VA) among patients initiating pharmacotherapy for type 2 diabetes."4.31Sulphonylureas versus metformin and the risk of ventricular arrhythmias among people with type 2 diabetes: A population-based cohort study. ( Douros, A; Filion, KB; Islam, N; Reynier, P; Yu, OHY, 2023)
"Metformin treatment significantly reduced cardiac fibrosis and alleviated arrhythmia in the diabetic rats."3.88Metformin restores electrophysiology of small conductance calcium-activated potassium channels in the atrium of GK diabetic rats. ( Cao, Q; Du, H; Duan, N; Fu, X; Li, B; Li, X; Pan, Y; Wang, S, 2018)
"Although both vildagliptin and metformin improved insulin resistance and attenuate myocardial injury caused by I/R, combined drugs provided better outcomes than single therapy by reducing arrhythmia score and mortality rate."3.80Combined vildagliptin and metformin exert better cardioprotection than monotherapy against ischemia-reperfusion injury in obese-insulin resistant rats. ( Apaijai, N; Chattipakorn, N; Chattipakorn, S; Chinda, K; Palee, S, 2014)
"After run-in on metformin and basal-bolus insulin (BBI), 102 participants continued metformin and basal insulin and were randomized to exenatide dosing before the two largest meals (glucacon-like peptide-1 receptor agonist and insulin [GLIPULIN group]) or continuation of rapid-acting insulin analogs (BBI group)."2.82Glucose Variability in a 26-Week Randomized Comparison of Mealtime Treatment With Rapid-Acting Insulin Versus GLP-1 Agonist in Participants With Type 2 Diabetes at High Cardiovascular Risk. ( , 2016)
"Patients with type 2 diabetes are at increased susceptibility to a prolonged QT interval."2.79Lack of the QTc physiologic decrease during cardiac stress test in patients with type 2 diabetes treated with secretagogues. ( Amato, S; Baiocco, E; Curione, M; Di Bona, S; Gatti, A; Mandosi, E; Morano, S; Rossetti, M; Salvatore, S; Tarquini, G; Turinese, I; Varrenti, M, 2014)
"Glyburide was associated with a significant increase in QTc (433 +/- 24 to 467 +/- 24 ms, p <0."2.70Differential effect of glyburide (glibenclamide) and metformin on QT dispersion: a potential adenosine triphosphate sensitive K+ channel effect. ( Khan, IA; Molnar, J; Najeed, SA; Somberg, JC, 2002)
"Metformin has been shown to have various cardiovascular benefits beyond its antihyperglycemic effects, including a reduction in stroke, heart failure, myocardial infarction, cardiovascular death, and all-cause mortality."2.66Effects of metformin on atrial and ventricular arrhythmias: evidence from cell to patient. ( Chattipakorn, N; Chattipakorn, SC; Nantsupawat, T; Wongcharoen, W, 2020)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (6.67)18.2507
2000's2 (13.33)29.6817
2010's5 (33.33)24.3611
2020's7 (46.67)2.80

Authors

AuthorsStudies
Zayas-Arrabal, J2
Alquiza, A1
Rodríguez-de-Yurre, A1
Echeazarra, L2
Fernández-López, V1
Gallego, M2
Casis, O2
Malagueta-Vieira, L1
Fernández-Ruocco, J1
Hortigón-Vinagre, MP1
Zamora, V1
Smith, GL1
Vila Petroff, M1
Medei, E1
Lee, TTL1
Hui, JMH1
Lee, YHA1
Satti, DI1
Shum, YKL1
Kiu, PTH1
Wai, AKC1
Liu, T1
Wong, WT1
Chan, JSK1
Cheung, BMY1
Wong, ICK1
Cheng, SH1
Tse, G1
Islam, N1
Reynier, P1
Douros, A1
Yu, OHY1
Filion, KB1
García-Beltran, C1
Cereijo, R1
Quesada-López, T1
Malpique, R1
López-Bermejo, A1
de Zegher, F1
Ibáñez, L1
Villarroya, F1
Palee, S2
Higgins, L1
Leech, T1
Chattipakorn, SC2
Chattipakorn, N3
Nantsupawat, T1
Wongcharoen, W1
Fu, X1
Pan, Y1
Cao, Q1
Li, B1
Wang, S1
Du, H1
Duan, N1
Li, X1
Apaijai, N1
Chinda, K1
Chattipakorn, S1
Urbinati, S1
Bordoni, B1
Curione, M1
Di Bona, S1
Amato, S1
Turinese, I1
Tarquini, G1
Gatti, A1
Mandosi, E1
Rossetti, M1
Varrenti, M1
Salvatore, S1
Baiocco, E1
Morano, S1
Najeed, SA1
Khan, IA1
Molnar, J1
Somberg, JC1
Davis, TM1
Parsons, RW1
Broadhurst, RJ1
Hobbs, MS1
Jamrozik, K1
Yazar, A1
Polat, G1
Un, I1
Levent, A1
Kaygusuz, A1
Büyükafşar, K1
çamdeviren, H1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Efficacy And Safety Of Metformin For The Treatment Of Atrial Fibrillation[NCT05878535]Phase 4770 participants (Anticipated)Interventional2023-06-01Not yet recruiting
FLAT-SUGAR: FLuctuATion Reduction With inSULin and Glp-1 Added togetheR[NCT01524705]Phase 4102 participants (Actual)Interventional2012-08-31Completed
Using Closed-Loop Artificial Pancreas Technology to Reduce Glycemic Variability and Subsequently Improve Cardiovascular Health in Type 1 Diabetes[NCT05653518]40 participants (Anticipated)Interventional2023-09-09Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Coefficient of Variation at 26 Weeks Minus Coefficient of Variation at Baseline

The change in the coefficient of variation (CV) of continuous glucose readings, as assessed by Continuous Glucose Monitoring (CGM) (NCT01524705)
Timeframe: At baseline, 6 months of intervention

Interventionpercentage (Mean)
Insulin Glargine, Metformin, Exenatide-2.43
Insulin Glargine, Metformin, Prandial Insulin0.44

HbA1C Levels

% of glycosylated hemoglobin in whole blood at 26 weeks (NCT01524705)
Timeframe: Baseline vs 26 weeks

Intervention% of HbA1C (Mean)
Insulin Glargine, Metformin, Exenatide7.1
Insulin Glargine, Metformin, Prandial Insulin7.2

Number of Participants With Hypoglycemia

Severe hypoglycemia-documented glucose <50mg/dl (participant journal), and hypoglycemic attacks requiring hospitalization, or treatment by emergency personnel. (NCT01524705)
Timeframe: 26 weeks

InterventionParticipants (Count of Participants)
Insulin Glargine, Metformin, Exenatide0
Insulin Glargine, Metformin, Prandial Insulin0

Weight Change During Trial

Weight in kg at 26 weeks minus weight at baseline. (NCT01524705)
Timeframe: Baseline vs 26 weeks

Interventionkg (Mean)
Insulin Glargine, Metformin, Exenatide-4.8
Insulin Glargine, Metformin, Prandial Insulin0.7

Reviews

1 review available for metformin and Arrhythmias, Cardiac

ArticleYear
Effects of metformin on atrial and ventricular arrhythmias: evidence from cell to patient.
    Cardiovascular diabetology, 2020, 11-24, Volume: 19, Issue:1

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Heart Atria; Heart Rate; H

2020

Trials

4 trials available for metformin and Arrhythmias, Cardiac

ArticleYear
Reduced circulating levels of chemokine CXCL14 in adolescent girls with polycystic ovary syndrome: normalization after insulin sensitization.
    BMJ open diabetes research & care, 2020, Volume: 8, Issue:1

    Topics: Adipocytes; Adipogenesis; Adipose Tissue, Brown; Adolescent; Arrhythmias, Cardiac; Biomarkers; Chemo

2020
Glucose Variability in a 26-Week Randomized Comparison of Mealtime Treatment With Rapid-Acting Insulin Versus GLP-1 Agonist in Participants With Type 2 Diabetes at High Cardiovascular Risk.
    Diabetes care, 2016, Volume: 39, Issue:6

    Topics: Adult; Aged; Alanine Transaminase; Arrhythmias, Cardiac; Blood Glucose; Body Weight; Cardiovascular

2016
Glucose Variability in a 26-Week Randomized Comparison of Mealtime Treatment With Rapid-Acting Insulin Versus GLP-1 Agonist in Participants With Type 2 Diabetes at High Cardiovascular Risk.
    Diabetes care, 2016, Volume: 39, Issue:6

    Topics: Adult; Aged; Alanine Transaminase; Arrhythmias, Cardiac; Blood Glucose; Body Weight; Cardiovascular

2016
Glucose Variability in a 26-Week Randomized Comparison of Mealtime Treatment With Rapid-Acting Insulin Versus GLP-1 Agonist in Participants With Type 2 Diabetes at High Cardiovascular Risk.
    Diabetes care, 2016, Volume: 39, Issue:6

    Topics: Adult; Aged; Alanine Transaminase; Arrhythmias, Cardiac; Blood Glucose; Body Weight; Cardiovascular

2016
Glucose Variability in a 26-Week Randomized Comparison of Mealtime Treatment With Rapid-Acting Insulin Versus GLP-1 Agonist in Participants With Type 2 Diabetes at High Cardiovascular Risk.
    Diabetes care, 2016, Volume: 39, Issue:6

    Topics: Adult; Aged; Alanine Transaminase; Arrhythmias, Cardiac; Blood Glucose; Body Weight; Cardiovascular

2016
Lack of the QTc physiologic decrease during cardiac stress test in patients with type 2 diabetes treated with secretagogues.
    Acta diabetologica, 2014, Volume: 51, Issue:1

    Topics: Aged; Arrhythmias, Cardiac; Carbamates; Diabetes Mellitus, Type 2; Electrocardiography; Exercise Tes

2014
Differential effect of glyburide (glibenclamide) and metformin on QT dispersion: a potential adenosine triphosphate sensitive K+ channel effect.
    The American journal of cardiology, 2002, Nov-15, Volume: 90, Issue:10

    Topics: Administration, Oral; Adult; Aged; Arrhythmias, Cardiac; Diabetes Mellitus, Type 2; Electrocardiogra

2002

Other Studies

10 other studies available for metformin and Arrhythmias, Cardiac

ArticleYear
Kv1.3 Channel Blockade Improves Inflammatory Profile, Reduces Cardiac Electrical Remodeling, and Prevents Arrhythmia in Type 2 Diabetic Rats.
    Cardiovascular drugs and therapy, 2023, Volume: 37, Issue:1

    Topics: Animals; Arrhythmias, Cardiac; Atrial Remodeling; Cytokines; Diabetes Mellitus, Experimental; Diabet

2023
Metformin Reduces Potassium Currents and Prolongs Repolarization in Non-Diabetic Heart.
    International journal of molecular sciences, 2022, May-27, Volume: 23, Issue:11

    Topics: Action Potentials; Animals; Arrhythmias, Cardiac; Diabetes Mellitus, Type 2; HEK293 Cells; Humans; I

2022
Sulfonylurea Is Associated With Higher Risks of Ventricular Arrhythmia or Sudden Cardiac Death Compared With Metformin: A Population-Based Cohort Study.
    Journal of the American Heart Association, 2022, 09-20, Volume: 11, Issue:18

    Topics: Aged; Aged, 80 and over; Arrhythmias, Cardiac; Cohort Studies; Death, Sudden, Cardiac; Diabetes Mell

2022
Sulphonylureas versus metformin and the risk of ventricular arrhythmias among people with type 2 diabetes: A population-based cohort study.
    Diabetes, obesity & metabolism, 2023, Volume: 25, Issue:6

    Topics: Arrhythmias, Cardiac; Cohort Studies; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metfor

2023
Acute metformin treatment provides cardioprotection via improved mitochondrial function in cardiac ischemia / reperfusion injury.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2020, Volume: 130

    Topics: Animals; Apoptosis; Arrhythmias, Cardiac; Cardiotonic Agents; Heart Function Tests; Hypoglycemic Age

2020
Metformin restores electrophysiology of small conductance calcium-activated potassium channels in the atrium of GK diabetic rats.
    BMC cardiovascular disorders, 2018, 04-10, Volume: 18, Issue:1

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Diabetes Mellitus; Disease

2018
Combined vildagliptin and metformin exert better cardioprotection than monotherapy against ischemia-reperfusion injury in obese-insulin resistant rats.
    PloS one, 2014, Volume: 9, Issue:7

    Topics: Adamantane; Animals; Arrhythmias, Cardiac; Calcium; Cardiotonic Agents; Dipeptidyl-Peptidase IV Inhi

2014
[European guidelines on diabetes, pre-diabetes and cardiovascular diseases: what's new?].
    Giornale italiano di cardiologia (2006), 2014, Volume: 15, Issue:6

    Topics: Arrhythmias, Cardiac; Biomarkers; Body Mass Index; Cardiovascular Diseases; Diabetes Mellitus, Type

2014
Arrhythmias and mortality after myocardial infarction in diabetic patients. Relationship to diabetes treatment.
    Diabetes care, 1998, Volume: 21, Issue:4

    Topics: Adult; Arrhythmias, Cardiac; Diabetes Complications; Diabetes Mellitus; Digitalis Glycosides; Diuret

1998
Effects of glibenclamide, metformin and insulin on the incidence and latency of death by oubain-induced arrhythmias in mice.
    Pharmacological research, 2002, Volume: 45, Issue:3

    Topics: Animals; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Blood Glucose; Cardiotonic Agents; Female; Gl

2002