PMID- 33847633 OWN - NLM STAT- MEDLINE DCOM- 20210428 LR - 20230905 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 100 IP - 15 DP - 2021 Apr 16 TI - Effects of continuous use of metformin on cardiovascular outcomes in patients with type 2 diabetes after acute myocardial infarction: A protocol for systematic review and meta-analysis. PG - e25353 LID - 10.1097/MD.0000000000025353 [doi] LID - e25353 AB - BACKGROUND: To our knowledge, no meta-analyses or reviews have investigated the efficacy and safety of metformin on cardiovascular outcomes after acute myocardial infarction (AMI) in patients with type 2 diabetes mellitus (T2DM). We thus conduct a high-quality systematic review and meta-analysis to assess the efficacy and safety of metformin on cardiovascular outcomes after AMI in patients with T2DM. METHODS: In this systematic review and meta-analysis, we will search PUBMED, Scopus, EMBASE, and Cochrane Library databases through April, 2021. The study is structured to adhere to PRISMA guidelines (i.e., Preferred Reporting Items for Systematic Reviews and Meta-analyses). The literature search, data extraction, and quality assessments are conducted independently by 2 authors. Outcome measures include all-cause mortality; complications such as acute kidney injury, lactic acidosis, hospitalization for AMI or stroke, or death. Where disagreement in the collection of data occurs, this is resolved through discussion. Review Manager Software (v 5.3; Cochrane Collaboration) is used for the meta-analysis. Two independent reviewers will assess the risk of bias of the included studies at study level. RESULTS: It is hypothesized that metformin use at the post-AMI is associated with decreased risk of cardiovascular disease and death in patients with T2DM. CONCLUSIONS: This study expects to provide credible and scientific evidence for the efficacy and safety of metformin on cardiovascular outcomes after AMI in patients with T2DM. REGISTRATION NUMBER: 10.17605/OSF.IO/S3MBP. CI - Copyright (c) 2021 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Shen, Chuanwen AU - Shen C AD - Department of Emergency, Qianjiang Central Hospital of Chongqing, Chongqing, China. FAU - Tan, Shuying AU - Tan S FAU - Yang, Jun AU - Yang J LA - eng GR - 2019016/Chongqing qianjiang district science and technology bureau project/ PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) SB - IM MH - Cardiovascular Diseases/epidemiology MH - Clinical Trials as Topic MH - Diabetes Mellitus, Type 2/*drug therapy/*epidemiology MH - Glycated Hemoglobin MH - Humans MH - Hypoglycemic Agents/administration & dosage/*therapeutic use MH - Metformin/administration & dosage/*therapeutic use MH - Myocardial Infarction/*epidemiology/mortality MH - Research Design MH - Meta-Analysis as Topic MH - Systematic Review as Topic PMC - PMC8051987 COIS- The authors report no conflicts of interest. EDAT- 2021/04/14 06:00 MHDA- 2021/04/29 06:00 PMCR- 2021/04/16 CRDT- 2021/04/13 12:12 PHST- 2021/03/09 00:00 [received] PHST- 2021/03/11 00:00 [accepted] PHST- 2021/04/13 12:12 [entrez] PHST- 2021/04/14 06:00 [pubmed] PHST- 2021/04/29 06:00 [medline] PHST- 2021/04/16 00:00 [pmc-release] AID - 00005792-202104160-00029 [pii] AID - MD-D-21-01844 [pii] AID - 10.1097/MD.0000000000025353 [doi] PST - ppublish SO - Medicine (Baltimore). 2021 Apr 16;100(15):e25353. doi: 10.1097/MD.0000000000025353.