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October 21, 2022AJP Heart and Circulatory Physiology63 citationsOpen Access

Guidelines for assessment of cardiac electrophysiology and arrhythmias in small animals

CRCrystal M. RipplingerAGAlexey V. GlukhovMKMatthew W. Kay

Key Result

This review provides guidelines and best practices for the assessment of cardiac electrophysiology and arrhythmia mechanisms at the whole animal, whole heart, and tissue level in small animal models.

Structured PICO

P
Population
Small animal models (e.g., mice, rats, guinea pigs, rabbits) used in preclinical cardiac electrophysiology and arrhythmia research

This document establishes standardized guidelines and best practices for assessing cardiac electrophysiology and arrhythmias in small animal models.

Limitations

  • iPSC-CM platforms have a different cellular electrophysiological phenotype compared with mature adult cardiomyocytes
  • Neonatal cardiomyocytes have immaturity in ion channel isoform expression and t-tubule structure

Abstract

Cardiac arrhythmias are a major cause of morbidity and mortality worldwide. Although recent advances in cell-based models, including human-induced pluripotent stem cell-derived cardiomyocytes (iPSC-CM), are contributing to our understanding of electrophysiology and arrhythmia mechanisms, preclinical animal studies of cardiovascular disease remain a mainstay. Over the past several decades, animal models of cardiovascular disease have advanced our understanding of pathological remodeling, arrhythmia mechanisms, and drug effects and have led to major improvements in pacing and defibrillation therapies. There exist a variety of methodological approaches for the assessment of cardiac electrophysiology and a plethora of parameters may be assessed with each approach. This guidelines article will provide an overview of the strengths and limitations of several common techniques used to assess electrophysiology and arrhythmia mechanisms at the whole animal, whole heart, and tissue level with a focus on small animal models. We also define key electrophysiological parameters that should be assessed, along with their physiological underpinnings, and the best methods with which to assess these parameters.

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Cite This Study

Ripplinger et al. (2022) conducted a review in Cardiac arrhythmias. This review provides guidelines and best practices for the assessment of cardiac electrophysiology and arrhythmia mechanisms at the whole animal, whole heart, and tissue level in small animal models.

synapsesocial.com/papers/6a15f3d6caf7e3ea0ee3e615https://doi.org/10.1152/ajpheart.00439.2022
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