Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiency

Diabetes mellitus is one of the leading causes of death in modern society, primarily due to its cardiovascular complications. This factor drives search for novel pharmacologic agents to affect not only glycemic levels, but also the cardiovascular prognosis in diabetic patients with ischemic heart di...

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Main Authors: Ekaterina Nikodimovna Kravchuk, M M Galagudza
Format: Article
Language:English
Published: Endocrinology Research Centre 2013-03-01
Series:Сахарный диабет
Subjects:
Online Access:https://www.dia-endojournals.ru/jour/article/view/3590
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author Ekaterina Nikodimovna Kravchuk
M M Galagudza
author_facet Ekaterina Nikodimovna Kravchuk
M M Galagudza
author_sort Ekaterina Nikodimovna Kravchuk
collection DOAJ
description Diabetes mellitus is one of the leading causes of death in modern society, primarily due to its cardiovascular complications. This factor drives search for novel pharmacologic agents to affect not only glycemic levels, but also the cardiovascular prognosis in diabetic patients with ischemic heart disease. Recent studies demonstrate that aside from basic blood glucose lowering action, metformin shows beneficial influence on blood rheology and vascular tone, hemostasis, oxidative stress, lipid spectrum and delivers and an ant-ischemic effect. Here we review clinical and experimental evidence on cardio- and vasoprotective effects of metformin, highlighting their molecular mechanisms.
format Article
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institution OA Journals
issn 2072-0351
2072-0378
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publishDate 2013-03-01
publisher Endocrinology Research Centre
record_format Article
series Сахарный диабет
spelling doaj-art-94aae411be3e471ab0f044046e06eeb02025-08-20T01:57:09ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782013-03-0116151410.14341/2072-0351-35903560Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiencyEkaterina Nikodimovna Kravchuk0M M Galagudza1V.A. Almazov Federal Heart, Blood and Endocrinology Centre, St-Petersburg, Russian FederationV.A. Almazov Federal Heart, Blood and Endocrinology Centre, St-Petersburg, Russian Federation; I.P. Pavlov State Medical University, St-Petersburg, Russian FederationDiabetes mellitus is one of the leading causes of death in modern society, primarily due to its cardiovascular complications. This factor drives search for novel pharmacologic agents to affect not only glycemic levels, but also the cardiovascular prognosis in diabetic patients with ischemic heart disease. Recent studies demonstrate that aside from basic blood glucose lowering action, metformin shows beneficial influence on blood rheology and vascular tone, hemostasis, oxidative stress, lipid spectrum and delivers and an ant-ischemic effect. Here we review clinical and experimental evidence on cardio- and vasoprotective effects of metformin, highlighting their molecular mechanisms.https://www.dia-endojournals.ru/jour/article/view/3590diabetes mellitus type 2metforminamp-activated protein kinaseischemic heart disease
spellingShingle Ekaterina Nikodimovna Kravchuk
M M Galagudza
Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiency
Сахарный диабет
diabetes mellitus type 2
metformin
amp-activated protein kinase
ischemic heart disease
title Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiency
title_full Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiency
title_fullStr Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiency
title_full_unstemmed Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiency
title_short Metformin in patients with ischemic heart disease and type 2 diabetes mellitus: mechanism of action and clinical efficiency
title_sort metformin in patients with ischemic heart disease and type 2 diabetes mellitus mechanism of action and clinical efficiency
topic diabetes mellitus type 2
metformin
amp-activated protein kinase
ischemic heart disease
url https://www.dia-endojournals.ru/jour/article/view/3590
work_keys_str_mv AT ekaterinanikodimovnakravchuk metformininpatientswithischemicheartdiseaseandtype2diabetesmellitusmechanismofactionandclinicalefficiency
AT mmgalagudza metformininpatientswithischemicheartdiseaseandtype2diabetesmellitusmechanismofactionandclinicalefficiency