Do non-pacemaker cells have a resting potential?

Prepare for the Cardiac Electrophysiology Exam featuring flashcards and multiple-choice questions with hints and explanations. Enhance your readiness for the exam!

Multiple Choice

Do non-pacemaker cells have a resting potential?

Explanation:
Non-pacemaker cardiac cells have a stable resting membrane potential. In atrial and ventricular myocytes, this resting potential sits around −85 to −95 mV and is kept negative mainly by inward-rectifier potassium currents that clamp the cell near the K+ equilibrium potential. This stable base is essential because it sets the stage for a rapid, all-or-none depolarization when voltage-gated Na+ channels open, followed by the plateau phase. Pacemaker cells, by contrast, do not sit at a fixed resting potential; they undergo diastolic depolarization due to If and other currents, so their membrane potential drifts upward toward threshold. That’s why non-pacemaker cells are described as having a true resting potential, whereas pacemaker cells exhibit automaticity.

Non-pacemaker cardiac cells have a stable resting membrane potential. In atrial and ventricular myocytes, this resting potential sits around −85 to −95 mV and is kept negative mainly by inward-rectifier potassium currents that clamp the cell near the K+ equilibrium potential. This stable base is essential because it sets the stage for a rapid, all-or-none depolarization when voltage-gated Na+ channels open, followed by the plateau phase.

Pacemaker cells, by contrast, do not sit at a fixed resting potential; they undergo diastolic depolarization due to If and other currents, so their membrane potential drifts upward toward threshold. That’s why non-pacemaker cells are described as having a true resting potential, whereas pacemaker cells exhibit automaticity.

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