Table 1 Animal models of arrhythmia disorders.

From: New drug discovery of cardiac anti-arrhythmic drugs: insights in animal models

Animal

Notes/limitations

In vitro models

Pig

Studies on isolated ventricular Myocytes: Can be induced minimally invasively with low mortality, model of TdP

Pig, Dog

Isolated guinea pig papillary muscles: Limitation to ventricular arrhythmia

Pig

Patch-Clamp Experiments in CHO Cells: Limitation to atrial Fibrillation

Pig

Isolation of Porcine Atrial Myocytes: Limitation to atrial Fibrillation

Pig

Isolation of guinea pig ventricular myocytes: Limitation to ventricular arrhythmia

Pig, Rat

Isolated guinea pig papillary muscle: action potential and refractory period: Limitation to ventricular arrhythmia

Rat, Pig, Dog, Rabbit

Langendorff technique: vulnerability to atrial and ventricular Fibrillation

Rabbit

Acetylcholine or potassium-induced arrhythmia: vulnerability to atrial and ventricular Fibrillation

Animal models of aquired arrhythmia disorders

Transverse aortic constriction

Mouse

Severity of injury dependent on strain (BALB/c > C57BL/6 > 129S1/SvImJ) and sub-strain (C57BL/6Tac > C57BL/6NCrl > C57BL/6J). Model requires PES to induce in vivo arrhythmias

Rat

Develop spontaneous arrhythmias with catecholamine challenge

Guinea Pig

High mortality, develops catecholamine-induced arrhythmias

Rabbit

In vivo injury, but arrhythmia studies completed ex vivo with Langendorff system

Pig

Model of heart failure with preserved ejection fraction, study of arrhythmias

Sheep

Model of heart failure with reduced ejection fraction, study of arrhythmias

Myocardial ischemia

Mouse

Single left coronary artery leads to variation in severity of injury. Model requires PES with catecholamine challenge to induced arrhythmias

Rat

Requires PES and catecholamine challenge to induce ventricular arrhythmias reliably but rare spontaneous arrhythmias

Rabbit

PES done as ex vivo in Langendorff system

Dog

Atrial ischemia extensive studied

Pig

High mortality due to poor collateral circulation, early spontaneous VT/VF during injury and late model of SCD

Sheep

High mortality with spontaneous ventricular arrhythmia

AV node ablation

Rat

High mortality, particularly in male rats. Requires specialized surgical equipment and skill

Rabbit

Studied completed ex vivo in Langendorff system

Dog

Can be induced minimally invasively with low mortality

Sheep

Can be induced minimally invasively with low mortality, model of TdP

Chronic atrial pacing

Rat

Model for AF

Rabbit

In vivo pacing, but PES studied completed ex vivo with Langendorff system

Dog

AF and spontaneous VT model, recapitulates tachycardia mediated cardiomyopathy

Pig

AF model, recapitulates tachycardia-mediated cardiomyopathy

Chronic ventricular pacing

Mouse

Requires tethered or ex vivo pacing

Rat

Model tachycardia mediated cardiomyopathy with VF induction with rapid pacing

Dog

Recapitulates tachycardia-mediated cardiomyopathy, model of spontaneous AF and VT

Sheep

Recapitulates tachycardia mediated cardiomyopathy with reduced ejection fraction, no studies of arrhythmia

Pig

Inflammation

Mouse

Strain-specific susceptibility. C3H/He and DBA/2 mice susceptible to viral myocarditits while C57BL/6 are protected. BALB/c susceptible to immunogen induced myocarditis while C57BL/6 more resistive

Rat

Model of AF, but nonphysiological induction of inflammation with talc

Guinea Pig

Dog

Sheep

Metabolic/drug-induced

Mouse

Streptozotocin and DIO models well established, increased susceptibility to AF and VT with PES

Rat

Age-dependent fibrosis found in Fisher 344 rat strain, model of AF

Rabbit

Established model of clofilium-induced TdP

In vivo approaches

Arrhythmia of chemical origin

Male Ivanovas rats

Rats with Aconitine Antagonism: With regard to ventricular extrasystoles, tachycardia, fibrillation, and death, the antiarrhythmic action of the test substance is quantified

Guinea Pig

Arrhythmias in Whole Guinea Pigs Caused by Aconitine: induce ventricular arrhythmias in a whole animal model

Male Marioth guinea pigs

Digioxin developed arrhythmia in guinea pigs: ventricular premature beats, fibrillation, and cardiac arrest

Rats, Rabbits

Strophanthin/Ouabain-induced Arrhythmia: ventricular premature beats, fibrillation, and cardiac arrest

Dogs

Adrenaline-induced Arrhythmia: induce ventricular arrhythmias in a whole animal model

Rats

Calcium-induced arrhythmia: ventricular flutter and fibrillation

Electrically triggered Arrhythmia

Dogs

Ventricular Fibrillation Electrical Threshold: Atria & ventricular thresholds were assessed using a variety of electrical pacing techniques, including sequential pulse pacing

Dogs

Programmed Electrical stimulation induced Arrhythmia: sustained ventricular tachycardia and ventricular fibrillation

Male mongrel dogs

Dog Model of Sudden Coronary Death: Coronary artery stenosis investigations into the onset of lethal arrhythmia and ventricular ectopy are conducted using recordings from the cardiocassette evaluation of tachyarrhythmias

Rats, Dogs

Exercise-related ventricular fibrillation: Coronary artery stenosis of exercise on the treadmill

Mechanically generated arrhythmia

Rats

Reperfusion Arrhythmia in Rats: Ventricular arrhythmia and myocardial infarction by ligation of the left major coronary artery in the course of the ligation and subsequent reperfusion

Dogs

Reperfusion Arrhythmia in Dogs: Ventricular arrhythmia and myocardial infarction by ligation of the left major coronary artery in the course of the ligation and subsequent reperfusion

Mice, Rats, Dogs, Guinea Pigs, Rabbits, Monkeys

Genetically Prone Arrhythmias. Limitations: Limited to embrogenic gene manupulations, ie. Gene mutations and gene knockout varients

Mice, Rats, Dogs, Guinea Pigs, Rabbits, Monkeys & Humans Stem cell cardiomyocytes

Arrhythmia Mechanisms in Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes; Limitations: When compared with native human ventricular tissue, hiPSC-based EHTs lack a positive force–frequency relation, which is one of the hallmarks of cardiac contractility. Furthermore, the frequency-dependent acceleration of relaxation is much weaker in EHTs

  1. Representative list of animal models with reference to the method to their development. AF indicates atrial fibrillation; DIO, diet-induced obesity; PES, programmed electrical stimulation; SCD, sudden cardiac death; TdP, Torsades de Pointes; VF, ventricular fibrillation; and VT, ventricular tachycardia.