Page last updated: 2024-10-30

metformin and ST Elevation Myocardial Infarction

metformin has been researched along with ST Elevation Myocardial Infarction in 8 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.

ST Elevation Myocardial Infarction: A clinical syndrome defined by MYOCARDIAL ISCHEMIA symptoms; persistent elevation in the ST segments of the ELECTROCARDIOGRAM; and release of BIOMARKERS of myocardial NECROSIS (e.g., elevated TROPONIN levels). ST segment elevation in the ECG is often used in determining the treatment protocol (see also NON-ST ELEVATION MYOCARDIAL INFARCTION).

Research Excerpts

ExcerptRelevanceReference
"To analyze the association between chronic metformin treatment and the development of contrast-induced acute kidney injury (CI-AKI) after primary percutaneous coronary intervention (PCI) for ST segment elevation myocardial infarction (STEMI)."7.83Metformin and contrast-induced acute kidney injury in diabetic patients treated with primary percutaneous coronary intervention for ST segment elevation myocardial infarction: Amulticenter study. ( Cottin, Y; Feldman, LJ; Juliard, JM; Labalette-Bart, M; Potier, L; Roussel, R; Steg, PG; Zeller, M, 2016)
" (Metabolic Modulation With Metformin to Reduce Heart Failure After Acute Myocardial Infarction: Glycometabolic Intervention as Adjunct to Primary Coronary Intervention in ST Elevation Myocardial Infarction (GIPS-III): a Randomized Controlled Trial; NCT01217307)."5.41Association of Circulating Ketone Bodies With Functional Outcomes After ST-Segment Elevation Myocardial Infarction. ( Assa, S; Connelly, MA; de Koning, MLY; Dullaart, RPF; Garcia, E; Lipsic, E; van der Harst, P; van Veldhuisen, DJ; Westenbrink, BD, 2021)
"Discontinuation of metformin treatment is a frequently used approach in clinical practice in diabetic ST-segment elevation myocardial infarction patients using metformin in order to reduce the risk of contrast-induced acute kidney injury."4.12Metformin and CI-AKI Risk in STEMI: Evaluation Using Propensity Score Weighting Method. ( Batgerel, U; Efe, SÇ; Kalkan, S; Karabay, CY; Karagöz, A; Kırma, C; Oduncu, V; Şimşek, B; Sungur, MA; Tanboğa, İH; Yılmaz, F; Yılmaz, MF, 2022)
"To analyze the association between chronic metformin treatment and the development of contrast-induced acute kidney injury (CI-AKI) after primary percutaneous coronary intervention (PCI) for ST segment elevation myocardial infarction (STEMI)."3.83Metformin and contrast-induced acute kidney injury in diabetic patients treated with primary percutaneous coronary intervention for ST segment elevation myocardial infarction: Amulticenter study. ( Cottin, Y; Feldman, LJ; Juliard, JM; Labalette-Bart, M; Potier, L; Roussel, R; Steg, PG; Zeller, M, 2016)
"Between January 2011 and May 2013, 379 STEMI patients without diabetes undergoing primary percutaneous coronary intervention were randomized to a 4-month treatment with metformin (500 mg twice daily) (N = 191) or placebo (N = 188) in the University Medical Center Groningen."2.84Two-year follow-up of 4 months metformin treatment vs. placebo in ST-elevation myocardial infarction: data from the GIPS-III RCT. ( Hartman, MHT; Lexis, CPH; Lipsic, E; Prins, JKB; Schurer, RAJ; van der Harst, P; van der Horst, ICC; van der Horst-Schrivers, ANA; van Veldhuisen, DJ, 2017)
"Metformin treatment improved diastolic function in animal models and patients with diabetes."2.82The Effect of Metformin on Diastolic Function in Patients Presenting with ST-Elevation Myocardial Infarction. ( Al Ali, L; Hartman, MT; Hummel, YM; Lexis, CP; Lipsic, E; van der Harst, P; van der Horst, IC; van Melle, JP; van Veldhuisen, DJ; Voors, AA, 2016)
"Metformin has been demonstrated to be beneficial for the treatment of an impaired myocardium as a result of ischemia/reperfusion (I/R) injury, and miR-34a may be involved in this process."1.62Metformin attenuates ischemia/reperfusion-induced apoptosis of cardiac cells by downregulation of p53/microRNA-34a via activation of SIRT1. ( Hao, J; Jiang, L; Jin, S; Li, W; Shi, Y, 2021)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's4 (50.00)24.3611
2020's4 (50.00)2.80

Authors

AuthorsStudies
de Koning, MLY1
Westenbrink, BD1
Assa, S1
Garcia, E1
Connelly, MA1
van Veldhuisen, DJ4
Dullaart, RPF1
Lipsic, E4
van der Harst, P4
Kalkan, S1
Karagöz, A1
Efe, SÇ1
Sungur, MA1
Şimşek, B1
Yılmaz, MF1
Batgerel, U1
Yılmaz, F1
Tanboğa, İH1
Oduncu, V1
Karabay, CY1
Kırma, C1
Yu, Q1
Zhu, JJ1
Liu, WX1
Li, W2
Jin, S1
Hao, J1
Shi, Y1
Jiang, L1
Hartman, MHT1
Prins, JKB1
Schurer, RAJ1
Lexis, CPH1
van der Horst-Schrivers, ANA1
van der Horst, ICC2
Hendriks, T1
Al Ali, L2
Maagdenberg, CG1
van Melle, JP2
Hummel, YM2
Oudkerk, M1
Nijveldt, R1
Zeller, M1
Labalette-Bart, M1
Juliard, JM1
Potier, L1
Feldman, LJ1
Steg, PG1
Cottin, Y1
Roussel, R1
Hartman, MT1
Lexis, CP1
Voors, AA1
van der Horst, IC1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Metabolic Modulation With Metformin to Reduce Heart Failure After Acute Myocardial Infarction: Glycometabolic Intervention as Adjunct to Primary Coronary Intervention in ST Elevation Myocardial Infarction (GIPS-III): a Randomized Controlled Trial.[NCT01217307]Phase 2/Phase 3380 participants (Actual)Interventional2011-01-31Completed
Metformin Continuation Versus Interruption Following Coronary Angiography: a Pilot Randomized Controlled Trial[NCT03980990]Phase 4500 participants (Anticipated)Interventional2019-06-17Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Improvement in Left Ventricular Ejection Fraction

The primary efficacy parameter of the GIPS-III trial is LVEF measured by cardiac MRI 4 months after randomization, based on an intention-to-treat analysis. It is hypothesized that metformin therapy will result in a higher ejection fraction after 4 months. (NCT01217307)
Timeframe: 4 months

Intervention% of LVEF (Mean)
Metformin53.1
Placebo54.8

Trials

4 trials available for metformin and ST Elevation Myocardial Infarction

ArticleYear
Association of Circulating Ketone Bodies With Functional Outcomes After ST-Segment Elevation Myocardial Infarction.
    Journal of the American College of Cardiology, 2021, 10-05, Volume: 78, Issue:14

    Topics: Aged; Biomarkers; Female; Humans; Hypoglycemic Agents; Ketone Bodies; Male; Metformin; Middle Aged;

2021
Two-year follow-up of 4 months metformin treatment vs. placebo in ST-elevation myocardial infarction: data from the GIPS-III RCT.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2017, Volume: 106, Issue:12

    Topics: Administration, Ophthalmic; Aged; Dose-Response Relationship, Drug; Double-Blind Method; Electrocard

2017
Agreement of 2D transthoracic echocardiography with cardiovascular magnetic resonance imaging after ST-elevation myocardial infarction.
    European journal of radiology, 2019, Volume: 114

    Topics: Cardiovascular Agents; Drug Administration Schedule; Echocardiography; Female; Heart Ventricles; Hum

2019
The Effect of Metformin on Diastolic Function in Patients Presenting with ST-Elevation Myocardial Infarction.
    PloS one, 2016, Volume: 11, Issue:12

    Topics: Aged; Diastole; Echocardiography; Female; Humans; Male; Metformin; Middle Aged; Percutaneous Coronar

2016

Other Studies

4 other studies available for metformin and ST Elevation Myocardial Infarction

ArticleYear
Metformin and CI-AKI Risk in STEMI: Evaluation Using Propensity Score Weighting Method.
    Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir, 2022, Volume: 50, Issue:6

    Topics: Acute Kidney Injury; Contrast Media; Creatinine; Diabetes Mellitus; Humans; Metformin; Percutaneous

2022
Effect of continuous use of metformin on kidney function in diabetes patients with acute myocardial infarction undergoing primary percutaneous coronary intervention.
    BMC cardiovascular disorders, 2020, 04-21, Volume: 20, Issue:1

    Topics: Acute Kidney Injury; Aged; Biomarkers; Contrast Media; Creatinine; Diabetes Mellitus, Type 2; Female

2020
Metformin attenuates ischemia/reperfusion-induced apoptosis of cardiac cells by downregulation of p53/microRNA-34a via activation of SIRT1.
    Canadian journal of physiology and pharmacology, 2021, Volume: 99, Issue:9

    Topics: Adult; Aged; AMP-Activated Protein Kinases; Animals; Apoptosis; Creatine Kinase, MB Form; Down-Regul

2021
Metformin and contrast-induced acute kidney injury in diabetic patients treated with primary percutaneous coronary intervention for ST segment elevation myocardial infarction: Amulticenter study.
    International journal of cardiology, 2016, Oct-01, Volume: 220

    Topics: Acute Kidney Injury; Aged; Contrast Media; Coronary Angiography; Creatinine; Diabetes Mellitus, Type

2016