During acute myocardial infarction (AMI), Ischemia/Reperfusion (I/R) injury causes cardiomyocyte (CM) death and loss of tissue function, making AMI one of the major causes of death worldwide. Cell-based in vitro models of I/R injury have been increasingly used as a complementary approach to preclinical research. However, most approaches use murine cells in 2D culture setups, which are not able to recapitulate human cellular physiology, as well as nutrient and gas gradients occurring in the myocardium. In this work we established a novel human in vitro model of myocardial I/R injury using CMs derived from human induced pluripotent stem cells (hiPSC-CMs), which were cultured as 3D aggregates in stirred tank bioreactors. We were able to recapitulate important hallmarks of AMI, including loss of CM viability with disruption of cellular ultrastructure, increased angiogenic potential, and secretion of key proangiogenic and proinflammatory cytokines. Conditioned medium was further used to probe human cardiac progenitor cells (hCPCs) response to paracrine cues from injured hiPSC-CMs through quantitative whole proteome analysis (SWATH-MS). I/R injury hiPSC-CM conditioned media incubation caused upregulation of hCPC proteins associated with migration, proliferation, paracrine signaling, and stress response-related pathways, when compared to the control media incubation.Our results indicate that the model developed herein can serve as a novel tool to interrogate mechanisms of action of human cardiac populations upon AMI. (Translational Research 2020; 215:57À74) Abbreviations: 2D = two-dimensional; 3D = three-dimensional; AMI = acute myocardial infarction; CMs = cardiomyocytes; CPCs = cardiac progenitor cells; ELISA = enzyme-linked immunosorbent assay; FBS = fetal bovine serum; FDA = fluorescein diacetate; hCPCs = human cardiac progenitor cells; HGF = hepatocyte growth factor; HIF-1a = hypoxia-inducible factor 1 a; hiPSC-CMs = human induced pluripotent stem cell derived cardiomyocytes; I/R = Ischemia/ Reperfusion; IGF-1 = insulin-like growth factor 1; IMS = ischemic mimetic solution; IPA = ingenuity pathway analysis; MS = mass spectrometry; PFA = paraformaldehyde; PI = propidium iodide; SWATH = sequential window acquisition of all theoretical mass spectra; T3 = triiodothyronine From the iBET,