Evidence map›Paper›PMID 27807593›Full record

ArticleJACC. Clinical electrophysiology2016

Enhancement of Gap Junction Function During Acute Myocardial Infarction Modifies Healing and Reduces Late Ventricular Arrhythmia Susceptibility.

Fu Siong Ng, Jeremy M Kalindjian, Simon A Cooper, Rasheda A Chowdhury, Pravina M Patel, Emmanuel Dupont, Alexander R Lyon, Nicholas S Peters

Open access · hybridAbstract read
In one paragraph

Article in JACC. Clinical electrophysiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
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  5. Identification of Cx43 variants predisposing to ventricular fibrillation in the acute phase of ST-elevation myocardial infarction.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
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  12. Fibroblast Growth Factor 21 Ameliorates NaFrontiers in pharmacology · 2021
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  15. Article
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  19. Article
  20. Therapeutic strategies targeting connexins.Nature reviews. Drug discovery · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Fu Siong NgImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom. Electronic address: f.ng@imperial.ac.uk.
Jeremy M KalindjianImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom.
Simon A CooperImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom.
Rasheda A ChowdhuryImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom.
Pravina M PatelImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom.
Emmanuel DupontImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom.
Alexander R LyonImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom.
Nicholas S PetersImperial College, London, United Kingdom; Myocardial Function, National Heart & Lung Institute, Imperial College, London, United Kingdom.
Imperial College London · GB

Funding

British Heart Foundation FS/11/67/28954British Heart Foundation PG/16/17/32069British Heart Foundation RG/10/11/28457British Heart Foundation RG/16/3/32175
6 · The paper itself

Abstract

objectivesThe purpose of this study was to investigate the effects of enhancing gap junction (GJ) coupling during acute myocardial infarction (MI) on the healed infarct scar morphology and late post-MI arrhythmia susceptibility.

backgroundIncreased heterogeneity of myocardial scarring after MI is associated with greater arrhythmia susceptibility. We hypothesized that short-term enhancement of GJ coupling during acute MI can produce more homogeneous infarct scars, reducing late susceptibility to post-MI arrhythmias.

methodsFollowing arrhythmic characterization of a rat 4-week post-MI model (n = 24), another 27 Sprague-Dawley rats were randomized to receive rotigaptide to enhance GJ coupling (n = 13) or to saline control (n = 14) by osmotic minipump immediately prior to and for the first 7 days following surgically induced MI. At 4 weeks post-MI, hearts were explanted for ex vivo programmed electrical stimulation (PES) and optical mapping. Heterogeneity of infarct border zone (IBZ) scarring was quantified by histomorphometry.

resultsDespite no detectable differences in infarct size at 4 weeks post-MI, rotigaptide-treated hearts had reduced arrhythmia susceptibility during PES (inducibility score for rotigaptide: 2.4 ± 0.8; for control: 5.0 ± 0.6; p = 0.02) and less heterogeneous IBZ scarring (dispersion of IBZ complexity score: rotigaptide: 1.1 ± 0.1; control: 1.4 ± 0.1; p = 0.04), associated with an improvement in IBZ conduction velocity (rotigaptide: 43.1 ± 3.4 cm/s; control: 34.8 ± 2.0 cm/s; p = 0.04).

conclusionsEnhancement of GJ coupling for only 7 days at the time of acute MI produced more homogeneous IBZ scarring and reduced arrhythmia susceptibility at 4 weeks post-MI. Short-term GJ modulation at the time of MI may represent a novel treatment strategy to modify the healed infarct scar morphology and reduce late post-MI arrhythmic risk.

Indexed as

CV, conduction velocityCx43, connexin43electrophysiologyfibrosisgap junctionsGJ, gap junctionIBZ, infarct border zoneMI, myocardial infarctionmyocardial infarctionPBS, phosphate-buffered salinePES, programmed electrical stimulationventricular arrhythmiaVT, ventricular tachycardia

Identifiers

PMID27807593
PMCPMC5076465
OpenAlexW2397910193

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.