The disclosure provides a
system for screening compounds for therapeutic cardiac effects in the cells, tissues and organoids of patients having diseases such as neurological diseases or disorders withsignificant cardiac comorbidities. The
system comprises a
medical device apparatus that can be suitable for a single-tier screen for cardio-active compounds that comprises a human ventricular cardiacanisotropic sheet (hvCAS) and human ventricular cardiac tissue strip (hvCTS), a two-tier
system further comprising human ventricular cardiac
organoid chamber (hvCOC), or a three-tier system still further comprising a
medical device comprising multiple organoids, which include tissues or organoids of the same or different type (e.g., heart, liver,
pancreas,
kidney). Another aspect of the disclosure is the methods suitable for use with the systems, comprising screens for identifying compounds having cardiac effects
on cells, tissues or organoids of patients having a non-cardiac
disease exhibiting a cardiac effect, such as neurological diseases. The methods are further useful in assessing the
toxicity of compounds to various cells, tissues or organoids of such patients.