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Publication Name World Journal of Cardiology
Manuscript ID 115712
Country Greece
Received
2025-10-24 03:08
Peer-Review Started
2025-10-24 03:08
First Decision by Editorial Office Director
2025-11-19 10:09
Return for Revision
2025-11-19 10:09
Revised
2025-12-02 16:12
Publication Fee Transferred
Second Decision by Editor
2026-02-05 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-05 03:26
Articles in Press
2026-02-05 03:26
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-04-03 06:08
Publish the Manuscript Online
2026-04-14 05:58
ISSN 1949-8462 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Cardiac & Cardiovascular Systems
Manuscript Type Meta-Analysis
Article Title Metformin fails to prevent diabetes in non-diabetic cardiovascular patients: Systematic review and meta-analysis
Manuscript Source Invited Manuscript
All Author List Georgios Ι Tsironikos, George Ε Zakynthinos, Despoina Kyprianidou, Vasiliki Rammou, Thomas Antonogiannis, Alexandra Bargiota, Epaminondas Zakynthinos and Vasiliki Tsolaki
ORCID
Author(s) ORCID Number
Georgios Ι Tsironikos http://orcid.org/0000-0003-1071-750X
George Ε Zakynthinos http://orcid.org/0000-0003-4444-0967
Despoina Kyprianidou http://orcid.org/0009-0004-1137-1998
Thomas Antonogiannis http://orcid.org/0009-0002-9521-0766
Alexandra Bargiota http://orcid.org/0000-0003-2694-5929
Vasiliki Tsolaki http://orcid.org/0000-0003-2412-5388
Funding Agency and Grant Number
Corresponding Author George Ε Zakynthinos, MD, 3rd Department of Cardiology, "Sotiria" Chest Diseases Hospital, Medical School, National and Kapodistrian University of Athens, Mesogion 152, Athens 11527, Greece. gzakynthinos2@gmail.com
Key Words Metformin; Cardiovascular disease; Coronary artery disease; New onset type 2 diabetes mellitus; Diabetes prevention; Glucagon-like-peptide-1 receptor agonists; Sodium-glucose cotransporter 2 inhibitors; RCTs
Core Tip This meta-analysis evaluated the role of metformin in preventing type 2 diabetes among non-diabetic patients with coronary artery disease. Across 933 participants from randomized controlled trials, metformin did not significantly reduce the incidence of diabetes compared to control. The findings were consistent across multiple subgroup analyses, including variations in age, gender, comorbidities, dosage, and follow-up duration. Despite low heterogeneity, the overall quality of evidence was very low, limiting the strength of conclusions. These results suggest that metformin should not be routinely used for diabetes prevention in non-diabetic coronary artery disease patients until more robust evidence from larger trials becomes available.
Publish Date 2026-04-14 05:58
Citation

Tsironikos GΙ, Zakynthinos GΕ, Kyprianidou D, Rammou V, Antonogiannis T, Bargiota A, Zakynthinos E, Tsolaki V. Metformin fails to prevent diabetes in non-diabetic cardiovascular patients: Systematic review and meta-analysis. World J Cardiol 2026; 18(4): 115712

URL https://www.wjgnet.com/1949-8462/full/v18/i4/115712.htm
DOI https://dx.doi.org/10.4330/wjc.v18.i4.115712
Full Article (PDF) WJC-18-115712-with-cover.pdf
PRISMA 2009 Checklist 115712-PRISMA-2009-Checklist.pdf
Manuscript File 115712_Auto_Edited_062126.docx
Answering Reviewers 115712-answering-reviewers.pdf
Audio Core Tip 115712-audio.mp3
Biostatistics Review Certificate 115712-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 115712-conflict-of-interest-statement.pdf
Copyright License Agreement 115712-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 115712-non-native-speakers.pdf
Supplementary Material 115712-supplementary-material.pdf
Peer-review Report 115712-peer-reviews.pdf
Scientific Misconduct Check 115712-scientific-misconduct-check.png
Scientific Editor Work List 115712-scientific-editor-work-list.pdf
CrossCheck Report 115712-crosscheck-report.pdf