Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials

Highlights 1. Metformin therapy regresses LVH by approximately 10 g/m2 in non-diabetic patients after 12 months of use (SMCC = −0.63, 95% CI − 1.23; − 0.04, p = 0.04). 2. Metformin therapy was associated with a modest (2–3%) but greater overall improvement in LVEF. 3. Higher dose (> 1000 mg/day)...

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Main Authors: Ahmed M. Kamel, Nirmeen Sabry, Samar Farid
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-022-02845-w
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author Ahmed M. Kamel
Nirmeen Sabry
Samar Farid
author_facet Ahmed M. Kamel
Nirmeen Sabry
Samar Farid
author_sort Ahmed M. Kamel
collection DOAJ
description Highlights 1. Metformin therapy regresses LVH by approximately 10 g/m2 in non-diabetic patients after 12 months of use (SMCC = −0.63, 95% CI − 1.23; − 0.04, p = 0.04). 2. Metformin therapy was associated with a modest (2–3%) but greater overall improvement in LVEF. 3. Higher dose (> 1000 mg/day) and longer treatment duration were associated with a significant effect for metformin on LVMI and LVEF. 4. Metformin use in HF patients was associated with an absolute increase of 3.21% in LVEF (SMCC = 0.23; 95% CI 0.1; 0.36, P = 0.004).
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spelling doaj.art-4418d1d34b4b4340ae4ff2c85d9c6b2f2022-12-22T01:44:42ZengBMCBMC Cardiovascular Disorders1471-22612022-09-0122111810.1186/s12872-022-02845-wEffect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trialsAhmed M. Kamel0Nirmeen Sabry1Samar Farid2Clinical Pharmacy Department, Faculty of Pharmacy, Cairo UniversityClinical Pharmacy Department, Faculty of Pharmacy, Cairo UniversityClinical Pharmacy Department, Faculty of Pharmacy, Cairo UniversityHighlights 1. Metformin therapy regresses LVH by approximately 10 g/m2 in non-diabetic patients after 12 months of use (SMCC = −0.63, 95% CI − 1.23; − 0.04, p = 0.04). 2. Metformin therapy was associated with a modest (2–3%) but greater overall improvement in LVEF. 3. Higher dose (> 1000 mg/day) and longer treatment duration were associated with a significant effect for metformin on LVMI and LVEF. 4. Metformin use in HF patients was associated with an absolute increase of 3.21% in LVEF (SMCC = 0.23; 95% CI 0.1; 0.36, P = 0.004).https://doi.org/10.1186/s12872-022-02845-wLeft ventricular mass indexMetforminLeft ventricular ejection fractionCardiovascular diseaseSystematic reviewMeta-analysis
spellingShingle Ahmed M. Kamel
Nirmeen Sabry
Samar Farid
Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials
BMC Cardiovascular Disorders
Left ventricular mass index
Metformin
Left ventricular ejection fraction
Cardiovascular disease
Systematic review
Meta-analysis
title Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials
title_full Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials
title_fullStr Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials
title_full_unstemmed Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials
title_short Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials
title_sort effect of metformin on left ventricular mass and functional parameters in non diabetic patients a meta analysis of randomized clinical trials
topic Left ventricular mass index
Metformin
Left ventricular ejection fraction
Cardiovascular disease
Systematic review
Meta-analysis
url https://doi.org/10.1186/s12872-022-02845-w
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