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. 2020 Nov 24;19:198. doi: 10.1186/s12933-020-01176-4

Table 5.

Effects of metformin on ventricular arrhythmias: reports from clinical trials

Model Type of study/No. of patients/FU Metformin (dose/duration) Key results and major findings Interpretation References

DM patients with CAD monitored via 24-h Holter monitor

(mean age 55)

Randomized crossover design/19 patients/2 weeks Metformin 500 mg BID for 2 weeks - <-> PVC/NSVT per minute of ischemia Metformin did not reduce PVC/NSVT in diabetic CAD patients [94]

Hospitalized DM patients with AMI

(mean age 56)

Retrospective cohort/40 Metformin alone and 705 others/28-day post AMI Various doses - <-> 28-days VT/VF incidence Metformin alone or in combination with other anti-DM drugs was not associated with decreased 28-day post AMI VT/VF incidence [56]

AMI acute myocardial infarction, CAD coronary artery disease, DM diabetes mellitus, PVC/NSVT premature ventricular contraction/non-sustained ventricular tachycardia, VT/VF ventricular tachycardia/ventricular fibrillation