Diet-induced pre-diabetes slows cardiac conductance and promotes arrhythmogenesis.

Background: Type 2 diabetes is associated with abnormal electrical conduction and sudden cardiac death, but the pathogenic mechanism remains unknown. This study describes electrophysiological alterations in a diet-induced pre-diabetic rat model and examines the underlying mechanism.

Methods: Sprague-Dawley rats were fed either high-fat diet and fructose water or normal chow and water for 6 weeks.

Gap junctions - guards of excitability.

Cardiomyocytes are connected by mechanical and electrical junctions located at the intercalated discs (IDs). Although these structures have long been known, it is becoming increasingly clear that their components interact. This review describes the involvement of the ID in electrical disturbances of the heart and focuses on the role of the gap junctional protein connexin 43 (Cx43).