Pacemaker cells (also known as sinoatrial node cells) are cells that generate rhythmic impulses and set the pace for blood pumping in the heart. These cells have the ability to rhythmically depolarize and initiate action potentials. In pacemaker cells, Ca2+ and Na+ levels are higher in the extracellular environment, while K+ concentration is higher intracellularly. The pacemaker action potentials have three phases: 1-depolarization, where membrane potential reaches -40 mV and voltage-gated Ca2+ channels open, 2-repolarization, where voltage-gated Ca2+ channels close and voltage-gated K+ channels open, and finally 3-gradual depolarization, which is caused by the slow influx of Na+ ions.
A Polio-Free U.S. Thanks to Vaccine Efforts. ... Polio has been eliminated from the United States thanks to widespread polio vaccination in this country. This means that there is no year-round transmission of polio virus in the United States. Since 1979, no cases of polio have originated in the United States.
