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Updated: Jun 18, 2026

Transthoracic Echocardiographic Examination in the Rabbit Model
Published on: June 1, 2019
Etiology-dependency of ionic remodeling in cardiomyopathic rabbits
Arie O Verkerk1, Antonius Baartscheer, Joris R de Groot
1Heart Failure Research Center, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. A.O.Verkerk@amc.uva.nl
Insights
Ionic remodeling and action potential prolongation in cardiomyopathy are linked to hypertrophy severity, not the specific cause like ischemic or dilated cardiomyopathy. This finding holds true in rabbit models.
Area of Science:
- Cardiology
- Electrophysiology
- Molecular Cardiology
Background:
- Dilated cardiomyopathy (DCM) and ischemic cardiomyopathy (ICM) cause action potential (AP) prolongation via ionic remodeling.
- Human studies show greater AP prolongation in DCM than ICM, but confounding factors limit conclusions.
- Standardized rabbit models were used to investigate etiology-specific ionic remodeling.
Purpose of the Study:
- To determine if the etiology of cardiomyopathy (ischemic vs. dilated) influences ionic remodeling and AP prolongation.
- To investigate the relationship between hypertrophy, ionic remodeling, and AP duration in distinct cardiomyopathy models.
Main Methods:
- Induced chronic infarction for ICM and volume/pressure overload for DCM in rabbits.
- Utilized patch-clamp methodology to measure action potentials and membrane currents.
- Assessed hypertrophy and heart failure indicators like ascites.
Main Results:
- Both ICM and DCM induced hypertrophy and AP prolongation.
- AP prolongation was more pronounced in DCM with heart failure (DCM(F)).
- Transient outward K(+) current (I(to 1)) density was reduced in all models, with greater downregulation in DCM(F).
Conclusions:
- Ionic remodeling and AP prolongation in these cardiomyopathy models depend on the degree of hypertrophy.
- The etiology of the cardiomyopathy (ICM vs. DCM) is less critical than the extent of hypertrophy in driving electrophysiological changes.
Background:
Both dilated (DCM) and ischemic cardiomyopathy (ICM) are associated with action potential (AP) prolongation due to ionic remodeling. In humans, AP prolongation is more pronounced in myocytes isolated from explanted DCM than ICM hearts. However, there is a large variability due to confounding factors, including age, sex, concomitant disease, drug treatment, and progression of the disease at the time of heart transplantation. Here, we investigated the etiology-dependency of ionic remodeling in standardized rabbit models of ICM and DCM.
Methods:
ICM and DCM were induced by chronic infarction or combined volume and pressure overload, respectively. APs and membrane currents were measured using patch-clamp methodology.
Results:
Both ICM and DCM caused hypertrophy, but this hypertrophy was more prominent in DCM rabbits that also developed heart failure (DCM(F)), as revealed by the presence of ascites. Animals of either model showed AP prolongation. While the AP prolongation was similar by the same degree of hypertrophy, AP prolongation in DCM(F) was more pronounced. In all models, L-type Ca(2+) current, inward rectifier K(+) current, and rapid delayed rectifier K(+) current were unaltered, but the transient outward K(+) current (I(to 1)) density was significantly reduced. The I(to 1) decrease was not associated with differences in voltage-dependency of (in)activation. I(to 1) downregulation was similar in ICM and DCM with the same degree of hypertrophy, but was more pronounced in DCM(F).
Conclusions:
The amount of ionic remodeling and AP prolongation in cardiomyopathic rabbits is due to differences in the amount of hypertrophy rather than differences in the etiology of the cardiomyopathy.
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