“…Among five muscarinic receptor subtypes (Brodde and Michel, 1999), M1, M2, and M3 are present in the heart (Brodde and Michel, 1999;Fisher et al, 2004;Wang et al, 2007), with the M2 receptor having a dominant chronotropic effect (Fisher et al, 2004). The endogenous muscarinic receptor agonist acetylcholine (ACh) has been reported to shorten the QT interval on an electrocardiogram (ECG) (Patel et al, 2010), and stimulation of muscarinic receptors with carbachol (CCh) reduces the ventricular action potential duration (APD) in papillary muscles (Arreola et al, 1994). Recently, it was reported that M3 muscarinic receptor overexpression reduces the incidence of arrhythmias and mortality associated with myocardial ischemia/reperfusion in mice (Liu et al, 2011).…”