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Table 5 Effects of metformin on ventricular arrhythmias: reports from clinical trials

From: Effects of metformin on atrial and ventricular arrhythmias: evidence from cell to patient

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]
  1. 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