Evidence map›Paper›PMID 34337891›Full record

ArticlePhysiological reports2021

Differential cardiotoxic electrocardiographic response to doxorubicin treatment in conscious versus anesthetized mice.

Anna Warhol, Sharon A George, Sofian N Obaid, Tatiana Efimova, Igor R Efimov

Open access · goldAbstract read
In one paragraph

Article in Physiological reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Impact of CaInternational journal of molecular sciences · 2026
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  6. CoordinatedeLife · 2025
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  13. What to consider for ECG in mice-with special emphasis on telemetry.Mammalian genome : official journal of the International Mammalian Genome Society · 2023
    Review
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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 1 institution in 1 country.

Anna WarholDepartment of Biomedical Engineering, The George Washington University, Washington, DC, USA.
Sharon A GeorgeDepartment of Biomedical Engineering, The George Washington University, Washington, DC, USA.ORCID 0000-0001-9003-1158
Sofian N ObaidDepartment of Biomedical Engineering, The George Washington University, Washington, DC, USA.
Tatiana EfimovaDepartment of Anatomy and Cell Biology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.ORCID 0000-0002-9869-1545
Igor R EfimovDepartment of Biomedical Engineering, The George Washington University, Washington, DC, USA.
George Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDoxorubicin (DOX), an anticancer drug used in chemotherapy, causes significant cardiotoxicity. This study aimed to investigate the effects of DOX on mouse cardiac electrophysiology, in conscious versus anesthetized state.

methodsMale and female C57BL/6 mice were injected with saline, 20 or 30 mg/kg DOX. ECGs were recorded 5 days post-injection in conscious and isoflurane anesthetized states. ECGs were analyzed using a custom MATLAB software to determine P, PR, QRS, QTc, and RR intervals as well as heart rate variability (HRV).

resultsECGs from the same mouse demonstrated P wave and QTc shortening as well as PR and RR interval prolongation in anesthetized versus conscious saline-treated mice. ECG response to DOX was also modulated by anesthesia. DOX treatment induced significant ECG modulation in female mice alone. While DOX20 treatment caused decrease in P and QRS durations, DOX30 treatment-induced QTc and RR interval prolongation in anesthetized but not in conscious female mice. These data suggest significant sex differences and anesthesia-induced differences in ECG response to DOX. HRV measured in time and frequency domains, a metric of arrhythmia susceptibility, was increased in DOX20-treated mice compared to saline.

conclusionsThis study for the first time identifies that the ECG response to DOX is modulated by anesthesia. Furthermore, this response demonstrated stark sex differences. These findings could have significant implications in clinical diagnosis of DOX cardiotoxicity.

Indexed as

AnesthesiaAnimalsAntibiotics, AntineoplasticCardiotoxicityConsciousnessDoxorubicinElectrocardiographyFemaleHeart RateMaleMiceMice, Inbred C57BLSex FactorsAntibiotics, AntineoplasticDoxorubicinanesthesiadoxorubicinelectrocardiographyisofluranesex differences

Identifiers

PMID34337891
PMCPMC8327163
OpenAlexW3191018200

What OpenQuestion holds

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LicenceCC BY
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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.