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14

1

  The Basics

If we record one electrical cycle of depolarization and repolarization

from a single cell, we obtain an electrical tracing called an

action

potential

. With each spontaneous depolarization, a new action

potential is generated, which in turn stimulates neighboring cells to

depolarize and generate their own action potential, and so on and on,

until the entire heart has been depolarized.

The action potential of a cardiac pacemaker cell looks a little

different than the generic action potential shown here. A pacemaker

cell does

not

have a true resting potential. Its electrical charge

drops to a minimal negative potential of approximately −60 mV,

which it maintains for just a moment (it does not rest there), and

then gradually rises until it reaches the threshold for the sudden

depolarization that is an action potential. These events are illustrated

on the following tracing.

A pacemaker cell depolarizing spontaneously.

Maximum voltage at

peak depolarization

Resting potential

A typical action potential.