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Updated: Jan 21, 2026

Optical Mapping of Action Potentials and Calcium Transients in the Mouse Heart
Published on: September 13, 2011
Monophasic action potential amplitude for substrate mapping
Ikeotunye Royal Chinyere1,2, Mathew Hutchinson1,3, Talal Moukabary4
1Sarver Heart Center, University of Arizona, Tucson, Arizona.
Bipolar voltage amplitude (BVA) mapping accurately quantified infarct size in a heart failure model, outperforming monophasic action potential amplitude (MAPA) mapping. BVA mapping is recommended for research and clinical electrophysiology.
Area of Science:
- Cardiovascular Electrophysiology
- Cardiac Mapping
- Heart Failure Research
Background:
- Radiofrequency ablation is effective for tachyarrhythmias but suffers from recurrence.
- Accurate substrate identification is crucial for successful arrhythmia ablation.
- Bipolar voltage electrogram sensitivity can be limited by its narrow field of view.
Purpose of the Study:
- To investigate the accuracy of monophasic action potential amplitude (MAPA) mapping for infarct size quantification compared to other modalities.
- To compare MAPA, MAP duration to 90% repolarization (MAPD90), unipolar voltage amplitude (UVA), and bipolar voltage amplitude (BVA) mapping against histopathology.
- To determine the optimal mapping technique for distinguishing healthy myocardium from scar tissue in ischemic heart failure.
Main Methods:
- Utilized a rat model of ischemic heart failure induced by left coronary artery ligation.
- Performed in vivo ventricular epicardial mapping using MAPA, MAPD90, UVA, and BVA.
- Compared mapping data with gold standard histopathological measurements of infarct size.
Main Results:
- MAPD90 and UVA effectively discriminated healthy myocardium from scar tissue (P < 0.0158).
- MAPA and BVA showed significant decreases between healthy, border, and scar tissues (P < 0.0218).
- BVA mapping demonstrated the highest accuracy in quantifying infarct size, contrary to the initial hypothesis.
Conclusions:
- Bipolar voltage amplitude (BVA) mapping is superior for infarct size quantification in this model.
- Monophasic action potential amplitude (MAPA) mapping, while having high spatial resolution, was less accurate quantitatively.
- BVA mapping's utility is reinforced for translational research and clinical electrophysiology, with potential for MAPA in characterizing fibrosis-related diseases like atrial fibrillation.
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