Background: Atrial tachycardia and fibrillation in humans may be partly con
sequent to vagal stimulation. Induction of fibrillation in the small heart
is considered to be impossible due to lack of a critical mass of >100-200 m
m(2). Even with the recent progression of the technology of in vivo and in
vitro mouse electrophysiological studies, few reports describe atrial tachy
cardia or fibrillation in mice. The purpose of this study was to attempt pr
ovocation of atrial tachyarrhythmia in mice using transvenous pacing follow
ing cholinergic stimulation. Methods and results: In vivo electrophysiology
studies were performed in 14 normal mice. A. six-lead ECG was recorded fro
m surface limb leads, and an octapolar electrode catheter was inserted via
jugular vein cutdown approach for simultaneous atrial and ventricular endoc
ardial recording and pacing. Atrial tachycardia and fibrillation were induc
ible in one mouse at baseline electrophysiology study and eleven of fourtee
n mice after carbamyl choline injection. The mean duration of atrial tachyc
ardia was 126 +/- 384 s. The longest episode lasted 35 min and only termina
ted after atropine injection. Reinduction of atrial tachycardia after admin
istration of atropine was not possible. Conclusion: Despite the small mass
of the normal mouse atria, sustained atrial tachycardia and fibrillation ca
n be easily and reproducibly inducible with endocardial pacing after cholin
ergic agonist administration. This finding may contribute to our understand
ing of the classical theories of arrhythmogenesis and critical substrates n
ecessary for sustaining microreentrant circuits. The techniques of transcat
heter parasympathetic agonist-mediated atrial tachycardia induction may be
valuable in further murine electrophysiological studies, especially mutant
models with potential atrial arrhythmia phenotypes. (C) 2001 Elsevier Scien
ce B.V. All rights reserved.