Evidence map›Paper›PMID 31061413›Full record

ArticleScientific reports2019

A rat model of complete atrioventricular block recapitulates clinical indices of bradycardia and provides a platform to test disease-modifying therapies.

Nam Kyun Kim, David Wolfson, Natasha Fernandez, Minji Shin, Hee Cheol Cho

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

Nam Kyun KimDepartment of Pediatrics, Emory University, Atlanta, GA, USA.
David WolfsonDepartment of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Natasha FernandezDepartment of Pediatrics, Emory University, Atlanta, GA, USA.
Minji ShinDepartment of Pediatrics, Emory University, Atlanta, GA, USA.
Hee Cheol ChoDepartment of Pediatrics, Emory University, Atlanta, GA, USA. HeeCheol.Cho@emory.edu.
Emory University · USGeorgia Institute of Technology · US

Funding

Patterning myocardial specification of human pluripotent stem cellsR01HL143065 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CHO, HEE CHEOL · 2019 to 2022
$2.3M
Molecular determinants of the cardiac pacemaker automaticityR01HL111646 · NHLBI · EMORY UNIVERSITY · PI CHO, HEE CHEOL · 2012 to 2016
$2.0M
NHLBI NIH HHS R01 HL111646NHLBI NIH HHS R01 HL143065U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) 1R01HL111646-01A1
6 · The paper itself

Abstract

Complete atrioventricular block (CAVB) is a life-threatening arrhythmia. A small animal model of chronic CAVB that properly reflects clinical indices of bradycardia would accelerate the understanding of disease progression and pathophysiology, and the development of therapeutic strategies. We sought to develop a surgical model of CAVB in adult rats, which could recapitulate structural remodeling and arrhythmogenicity expected in chronic CAVB. Upon right thoracotomy, we delivered electrosurgical energy subepicardially via a thin needle into the atrioventricular node (AVN) region of adult rats to create complete AV block. The chronic CAVB animals developed dilated and hypertrophied ventricles with preserved systolic functions due to compensatory hemodynamic remodeling. Ventricular tachyarrhythmias, which are difficult to induce in the healthy rodent heart, could be induced upon programmed electrical stimulation in chronic CAVB rats and worsened when combined with β-adrenergic stimulation. Focal somatic gene transfer of TBX18 to the left ventricular apex in the CAVB rats resulted in ectopic ventricular beats within days, achieving a de novo ventricular rate faster than the slow atrioventricular (AV) junctional escape rhythm observed in control CAVB animals. The model offers new opportunities to test therapeutic approaches to treat chronic and severe CAVB which have previously only been testable in large animal models.

Indexed as

AnimalsAtrioventricular BlockBiopsyBradycardiaCatheter AblationCombined Modality TherapyDisease ManagementDisease Models, AnimalEchocardiographyElectrocardiographyFemaleHeart RateImmunohistochemistryMaleRatsTime Factors

Identifiers

PMID31061413
PMCPMC6502940
OpenAlexW2943676889

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.