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Updated: Apr 14, 2026

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From Pig to Human: Endo-Epicardial Substrate Characterization Using Dual Optical Mapping.

Jimena Siles1,2, Casey Lee-Trimble2, Evan Rheaume2

  • 1HEartLab, Federal University of ABC, São Bernardo do Campo, Brazil.

Computing in Cardiology
|April 13, 2026
PubMed
Summary
This summary is machine-generated.

Dual optical mapping reveals critical differences in how porcine and human hearts develop arrhythmias. Human hearts show more alternans and heterogeneity, highlighting species-specific mechanisms for sudden cardiac arrest.

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Area of Science:

  • Cardiovascular Physiology
  • Cardiac Electrophysiology
  • Arrhythmogenesis Research

Background:

  • Understanding endocardial and epicardial electrical activity dissociation is key to investigating arrhythmia mechanisms.
  • Dual-surface mapping provides insights into the complex electrical behavior of the heart.

Purpose of the Study:

  • To simultaneously record transmembrane voltage from endocardial and epicardial surfaces in porcine and human hearts.
  • To investigate species-specific differences in arrhythmogenesis using dual optical mapping.

Main Methods:

  • Utilized a dual optical mapping system for simultaneous endo-epi recording.
  • Paced endocardium at increasing rates (PCL 1000 ms to block/arrhythmia).
  • Analyzed action potential duration (APD) alternans and repolarization heterogeneity.

Main Results:

  • Porcine hearts transitioned abruptly to fibrillation with minimal APD alternans.
  • Human hearts displayed significant APD alternans and repolarization heterogeneity before fibrillation.
  • Endocardial maps during fibrillation showed conduction block and reentrant sites; epicardial activation was slower.

Conclusions:

  • Demonstrated endo-epicardial dissociation and species-specific differences in arrhythmogenesis.
  • Dual-surface optical mapping is a valuable tool for translational cardiac research.
  • Findings advance understanding of arrhythmia mechanisms and potential therapeutic targets.