Page last updated: 2024-10-30

metformin and Myocardial Ischemia

metformin has been researched along with Myocardial Ischemia in 28 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.

Myocardial Ischemia: A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).

Research Excerpts

ExcerptRelevanceReference
"Metformin (Met) has a protective effect against cardiac ischemia and reperfusion (I/R) injury."8.31Metformin ameliorates ferroptosis in cardiac ischemia and reperfusion by reducing NOX4 expression via promoting AMPKα. ( Bai, Y; Chang, C; Guo, Z; Jiao, Y; Qi, Y; Wu, Z, 2023)
"Metformin-associated lactic acidosis (MALA) is one of the most important drug toxicities with a high morbidity and mortality rate."7.83Myocardial injury and acute renal failure associated with lactic acidosis due to suicide attempt with metformin. ( Berber, E; Ordu, O; Ozdemir, A; Ozen, B; Sertbas, M; Sertbas, Y, 2016)
"Metformin treatment in the context of metabolic syndrome and myocardial ischemia dramatically upregulates the insulin signaling pathway in chronically ischemic myocardium, which is at the crossroads of known metabolic and survival benefits of metformin."7.79Metformin alters the insulin signaling pathway in ischemic cardiac tissue in a swine model of metabolic syndrome. ( Chu, LM; Elmadhun, NY; Lassaletta, AD; Sellke, FW, 2013)
"In comparison with placebo (n = 17), metformin recipients (n = 16) showed significant reductions in weight and in homeostatic model assessment for insulin resistance (p < 0."5.12Effects of metformin on microvascular function and exercise tolerance in women with angina and normal coronary arteries: a randomized, double-blind, placebo-controlled study. ( Cobbe, SM; Ferrell, W; Greer, IA; Jadhav, S; Petrie, JR; Sattar, N, 2006)
"Metformin (Met) has a protective effect against cardiac ischemia and reperfusion (I/R) injury."4.31Metformin ameliorates ferroptosis in cardiac ischemia and reperfusion by reducing NOX4 expression via promoting AMPKα. ( Bai, Y; Chang, C; Guo, Z; Jiao, Y; Qi, Y; Wu, Z, 2023)
"Metformin-associated lactic acidosis (MALA) is one of the most important drug toxicities with a high morbidity and mortality rate."3.83Myocardial injury and acute renal failure associated with lactic acidosis due to suicide attempt with metformin. ( Berber, E; Ordu, O; Ozdemir, A; Ozen, B; Sertbas, M; Sertbas, Y, 2016)
"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)
"Metformin treatment in the context of metabolic syndrome and myocardial ischemia dramatically upregulates the insulin signaling pathway in chronically ischemic myocardium, which is at the crossroads of known metabolic and survival benefits of metformin."3.79Metformin alters the insulin signaling pathway in ischemic cardiac tissue in a swine model of metabolic syndrome. ( Chu, LM; Elmadhun, NY; Lassaletta, AD; Sellke, FW, 2013)
"Right atrial sections from four patient groups-non-diabetic, insulin-dependent diabetes mellitus (IDDM), non-insulin-dependent diabetes mellitus (NIDDM) receiving glibenclamide, and NIDDM receiving metformin-were subjected to one of the following protocols: aerobic control, simulated ischemia/reoxygenation, ischemic preconditioning before ischemia, and pharmacological preconditioning with alpha 1 agonist phenylephrine, adenosine, the mito-K(ATP) channel opener diazoxide, the protein kinase C (PKC) activator phorbol-12-myristate-13-acetate (PMA), or the p38 mitogen-activated protein kinase (p38MAPK) activator anisomycin."3.73Mitochondrial dysfunction as the cause of the failure to precondition the diabetic human myocardium. ( Fowler, A; Galiñanes, M; Hassouna, A; Loubani, M; Matata, BM; Standen, NB, 2006)
"Metformin has unique, intrinsic actions specifically at the level of terminal arterioles, which are completely independent of its antidiabetic effect."2.48Microvascular diseases: is a new era coming? ( Rapin, JR; Wiernsperger, N, 2012)
"In patients with type 2 diabetes mellitus, treatment with metformin is associated with a lower cardiovascular morbidity and mortality, compared with alternative glucose-lowering drugs."2.47The cardioprotective effects of metformin. ( de Boer, RA; El Messaoudi, S; Riksen, NP; Rongen, GA, 2011)
"A model that incorporates HbA1c and diabetes complications can serve as a useful clinical decision tool for selection of treatment options."1.40Second-line agents for glycemic control for type 2 diabetes: are newer agents better? ( Denton, BT; Mason, JE; McCoy, RG; Shah, ND; Smith, SA; Zhang, Y, 2014)
"Metformin was administered 60 min prior to induction of global ischemia, or in combination with a nitric oxide synthase inhibitor, N(G)-nitro-L-arginine methyl ester (L-NAME), at 5 min or 60 min prior to the ischemia."1.32Cardioprotection by metformin is abolished by a nitric oxide synthase inhibitor in ischemic rabbit hearts. ( Ishikawa, K; Kawabata, H, 2003)

Research

Studies (28)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's10 (35.71)29.6817
2010's15 (53.57)24.3611
2020's3 (10.71)2.80

Authors

AuthorsStudies
Wu, Z1
Bai, Y2
Qi, Y1
Chang, C1
Jiao, Y1
Guo, Z1
Fei, Q1
Ma, H1
Zou, J1
Wang, W1
Zhu, L1
Deng, H1
Meng, M1
Tan, S1
Zhang, H1
Xiao, X1
Wang, N1
Wang, K1
Chen, Q1
Lesnefsky, EJ1
Lu, L1
Ye, S1
Scalzo, RL1
Reusch, JEB1
Greyson, CR1
Schwartz, GG1
Fadini, GP1
Frison, V1
Simioni, N1
Lapolla, A1
Gatti, A1
Bossi, AC1
Del Buono, A1
Fornengo, P1
Gottardo, L1
Laudato, M1
Perseghin, G1
Bonora, E1
Avogaro, A1
Zhang, Y1
McCoy, RG1
Mason, JE1
Smith, SA1
Shah, ND1
Denton, BT1
Elmadhun, NY3
Sabe, AA1
Lassaletta, AD3
Chu, LM3
Sellke, FW3
Apaijai, N1
Chinda, K1
Palee, S1
Chattipakorn, S1
Chattipakorn, N1
Vrbíková, J1
Sertbas, M1
Sertbas, Y1
Ordu, O1
Berber, E1
Ozen, B1
Ozdemir, A1
Biondi-Zoccai, G1
Pinto, A1
Versaci, F1
Procaccini, E1
Neri, G1
Sesti, G1
Uccioli, L1
Vetere, M1
Peruzzi, M1
Nudi, F1
Sauvé, M1
Ban, K1
Momen, MA1
Zhou, YQ1
Henkelman, RM1
Husain, M1
Drucker, DJ1
Alonso-García, A1
García-Soidán, FJ1
Lisbona-Gil, A1
El Messaoudi, S1
Rongen, GA1
de Boer, RA1
Riksen, NP1
Robich, MP1
Feng, J1
Burgess, TA1
Laham, RJ1
Sturek, M1
Wiernsperger, N1
Rapin, JR1
Monami, M1
Filippi, L1
Ungar, A1
Sgrilli, F1
Antenore, A1
Dicembrini, I1
Bagnoli, P1
Marchionni, N1
Rotella, CM1
Mannucci, E1
Kawabata, H1
Ishikawa, K1
Johnson, JA1
Majumdar, SR1
Kola, B1
Hubina, E1
Tucci, SA1
Kirkham, TC1
Garcia, EA1
Mitchell, SE1
Williams, LM1
Hawley, SA1
Hardie, DG1
Grossman, AB1
Korbonits, M1
Capano, M1
Crompton, M1
Hassouna, A1
Loubani, M1
Matata, BM1
Fowler, A1
Standen, NB1
Galiñanes, M1
Jadhav, S1
Ferrell, W1
Greer, IA1
Petrie, JR1
Cobbe, SM1
Sattar, N1
Bhamra, GS1
Hausenloy, DJ1
Davidson, SM1
Carr, RD1
Paiva, M1
Wynne, AM1
Mocanu, MM1
Yellon, DM1
Olsson, J1
Lindberg, G1
Gottsäter, M1
Lindwall, K1
Sjöstrand, A1
Tisell, A1
Melander, A1
Greenfield, JR1
Chisholm, DJ1
Legtenberg, RJ1
Houston, RJ1
Oeseburg, B1
Smits, P1

Reviews

4 reviews available for metformin and Myocardial Ischemia

ArticleYear
[Polycystic ovary syndrome].
    Vnitrni lekarstvi, 2015, Volume: 61, Issue:10

    Topics: Androgen Antagonists; Anovulation; Combined Modality Therapy; Contraceptives, Oral, Hormonal; Diabet

2015
The cardioprotective effects of metformin.
    Current opinion in lipidology, 2011, Volume: 22, Issue:6

    Topics: Animals; Cardiotonic Agents; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Diabetic Cardiomyo

2011
Microvascular diseases: is a new era coming?
    Cardiovascular & hematological agents in medicinal chemistry, 2012, Volume: 10, Issue:2

    Topics: Diabetic Angiopathies; Hemorheology; Humans; Metformin; Microcirculation; Microvessels; Myocardial I

2012
Further data on beta-blockers and cancer risk: observational study and meta-analysis of randomized clinical trials.
    Current medical research and opinion, 2013, Volume: 29, Issue:4

    Topics: Adrenergic beta-Antagonists; Aged; Atenolol; Benzopyrans; Bisoprolol; Carbazoles; Carvedilol; Diabet

2013

Trials

2 trials available for metformin and Myocardial Ischemia

ArticleYear
Further data on beta-blockers and cancer risk: observational study and meta-analysis of randomized clinical trials.
    Current medical research and opinion, 2013, Volume: 29, Issue:4

    Topics: Adrenergic beta-Antagonists; Aged; Atenolol; Benzopyrans; Bisoprolol; Carbazoles; Carvedilol; Diabet

2013
Effects of metformin on microvascular function and exercise tolerance in women with angina and normal coronary arteries: a randomized, double-blind, placebo-controlled study.
    Journal of the American College of Cardiology, 2006, Sep-05, Volume: 48, Issue:5

    Topics: Adult; Angina Pectoris; Double-Blind Method; Electrocardiography; Exercise Tolerance; Female; Humans

2006

Other Studies

23 other studies available for metformin and Myocardial Ischemia

ArticleYear
Metformin ameliorates ferroptosis in cardiac ischemia and reperfusion by reducing NOX4 expression via promoting AMPKα.
    Pharmaceutical biology, 2023, Volume: 61, Issue:1

    Topics: AMP-Activated Protein Kinases; Animals; Apoptosis; Cell Line; Ferroptosis; Iron; Ischemia; Metformin

2023
Metformin protects against ischaemic myocardial injury by alleviating autophagy-ROS-NLRP3-mediated inflammatory response in macrophages.
    Journal of molecular and cellular cardiology, 2020, Volume: 145

    Topics: Adenosine Triphosphate; Animals; Autophagy; DNA, Mitochondrial; Female; Hemodynamics; Hydrogen Perox

2020
Metformin and myocardial ischemia and reperfusion injury: Moving toward "prime time" human use?
    Translational research : the journal of laboratory and clinical medicine, 2021, Volume: 229

    Topics: Humans; Metformin; Myocardial Ischemia; Myocardial Reperfusion Injury; Reperfusion Injury

2021
Metformin prevents ischaemic ventricular fibrillation in metabolically normal pigs.
    Diabetologia, 2017, Volume: 60, Issue:8

    Topics: Adenosine Triphosphate; Administration, Intravenous; AMP-Activated Protein Kinases; Animals; Citrate

2017
Changes in the Prescription of Glucose-Lowering Medications in Patients With Type 2 Diabetes Mellitus After a Cardiovascular Event: A Call to Action From the DATAFILE Study.
    Journal of the American Heart Association, 2019, 07-16, Volume: 8, Issue:14

    Topics: Adrenergic beta-Antagonists; Aged; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme I

2019
Second-line agents for glycemic control for type 2 diabetes: are newer agents better?
    Diabetes care, 2014, Volume: 37, Issue:5

    Topics: Amputation, Surgical; Blood Glucose; Coronary Artery Disease; Diabetes Complications; Diabetes Melli

2014
Metformin mitigates apoptosis in ischemic myocardium.
    The Journal of surgical research, 2014, Volume: 192, Issue:1

    Topics: Animals; Apoptosis; Cardiotonic Agents; Disease Models, Animal; Forkhead Transcription Factors; Hypo

2014
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
Myocardial injury and acute renal failure associated with lactic acidosis due to suicide attempt with metformin.
    JPMA. The Journal of the Pakistan Medical Association, 2016, Volume: 66, Issue:2

    Topics: Acidosis, Lactic; Acute Kidney Injury; Emergency Medical Services; Humans; Hypoglycemic Agents; Male

2016
Comparative Impact of Hypoglycemic Agents on Severity and Extent of Myocardial Ischemia in Patients With Type 2 Diabetes Mellitus Undergoing Myocardial Perfusion Scintigraphy.
    Journal of cardiovascular pharmacology, 2016, Volume: 68, Issue:2

    Topics: Aged; Chi-Square Distribution; Coronary Angiography; Databases, Factual; Diabetes Mellitus, Type 2;

2016
Genetic deletion or pharmacological inhibition of dipeptidyl peptidase-4 improves cardiovascular outcomes after myocardial infarction in mice.
    Diabetes, 2010, Volume: 59, Issue:4

    Topics: Animals; Cardiovascular System; Coronary Vessels; Diabetes Mellitus, Experimental; Dipeptidyl Peptid

2010
[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
Overfed Ossabaw swine with early stage metabolic syndrome have normal coronary collateral development in response to chronic ischemia.
    Basic research in cardiology, 2012, Volume: 107, Issue:2

    Topics: Animals; Collateral Circulation; Coronary Vessels; Diet, High-Fat; Hemodynamics; Hypoglycemic Agents

2012
Metformin alters the insulin signaling pathway in ischemic cardiac tissue in a swine model of metabolic syndrome.
    The Journal of thoracic and cardiovascular surgery, 2013, Volume: 145, Issue:1

    Topics: AMP-Activated Protein Kinases; Animals; Coronary Circulation; Disease Models, Animal; Energy Metabol

2013
Cardioprotection by metformin is abolished by a nitric oxide synthase inhibitor in ischemic rabbit hearts.
    Hypertension research : official journal of the Japanese Society of Hypertension, 2003, Volume: 26, Issue:1

    Topics: Animals; Cardiotonic Agents; Drug Interactions; Energy Metabolism; Enzyme Inhibitors; Hypoglycemic A

2003
Association of diabetes mellitus and glycemic control strategies with clinical outcomes after acute coronary syndromes.
    American heart journal, 2004, Volume: 148, Issue:6

    Topics: Cardiovascular Diseases; Diabetes Complications; Diabetes Mellitus; Drug Interactions; Humans; Hypog

2004
Cannabinoids and ghrelin have both central and peripheral metabolic and cardiac effects via AMP-activated protein kinase.
    The Journal of biological chemistry, 2005, Jul-01, Volume: 280, Issue:26

    Topics: Adipose Tissue; AMP-Activated Protein Kinases; Animals; Cannabinoids; Dimerization; Dronabinol; Ghre

2005
Bax translocates to mitochondria of heart cells during simulated ischaemia: involvement of AMP-activated and p38 mitogen-activated protein kinases.
    The Biochemical journal, 2006, Apr-01, Volume: 395, Issue:1

    Topics: Aminoimidazole Carboxamide; AMP-Activated Protein Kinases; Animals; bcl-2-Associated X Protein; Cell

2006
Mitochondrial dysfunction as the cause of the failure to precondition the diabetic human myocardium.
    Cardiovascular research, 2006, Feb-01, Volume: 69, Issue:2

    Topics: Adenosine; Adrenergic alpha-Agonists; Diabetes Mellitus; Diabetes Mellitus, Type 1; Diabetes Mellitu

2006
Metformin protects the ischemic heart by the Akt-mediated inhibition of mitochondrial permeability transition pore opening.
    Basic research in cardiology, 2008, Volume: 103, Issue:3

    Topics: Animals; Chromones; Diabetes Mellitus; Disease Models, Animal; Dose-Response Relationship, Drug; Dru

2008
Increased mortality in Type II diabetic patients using sulphonylurea and metformin in combination: a population-based observational study.
    Diabetologia, 2000, Volume: 43, Issue:5

    Topics: Blood Glucose; Cause of Death; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Glycated Hemogl

2000
Clinical trials and clinical practice--bridging the gaps in type 2 diabetes. An evidence-based approach to risk factor modification in type 2 diabetes.
    Australian and New Zealand journal of medicine, 2000, Volume: 30, Issue:4

    Topics: Anticholesteremic Agents; Antihypertensive Agents; Atenolol; Clinical Trials as Topic; Diabetes Mell

2000
Metformin improves cardiac functional recovery after ischemia in rats.
    Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme, 2002, Volume: 34, Issue:4

    Topics: Animals; Cardiac Output; Hypoglycemic Agents; In Vitro Techniques; Male; Metformin; Myocardial Ische

2002