Impact of stimulation frequency on INaL and IKr in the absence and presence of drugs. (A) Averaged sodium current traces recorded at −10 mV (100-ms pulses applied from a −90-mV holding potential) in LQT-3 iPSC-CMs in control conditions (left; n = 5) and in the presence of 50 µM mexiletine (right; n = 5) at 0.2 Hz (gray traces and arrows) and at 1.6 Hz (black traces and arrows) at low and high (insets) gain. Dashed lines, zero current. (B) Percent block of INa peak current (INa peak) and INa late current (INaL) at 0.2 and 1.6 Hz by 50 µM mexiletine alone (n = 6) and 50 µM mexiletine plus 5 µM flecainide (n = 3). One-way ANOVA followed by Tukey’s test: *, P < 0.01 versus paired INa peak; #, P < 0.01 versus INa peak at 0.2 Hz in the presence of mexiletine; δ, P < 0.01 versus INaL at 0.2 Hz in the presence of mexiletine. (C) Block of IKr channels by 50 µM mexiletine (Mex) and 5 µM flecainide (Flec) at 1.6 Hz in WT iPSC-CMs depolarized to 30 mV for 200 ms, from a holding potential of −40 mV, and repolarized at −40 mV for 200 ms. (D) Change in IKr tail current density measured at −40 mV after 200-ms test pulses at 30 mV in control condition (at 0.2 and 1.6 Hz), in the presence of 50 µM mexiletine and after the addition of 5 µM flecainide. *, P < 0.05 versus paired control; #, P < 0.05 versus mexiletine at 1.6 Hz. Data are shown as means ± SEM.