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Myocardial Ap Triggered?  Spread Depolarization Pacemaker Cells 

The action potential in myocardial cells is triggered by the spread of depolarization originating from the pacemaker cells.

By spread of depolarization from pacemaker cells <img src="paste-8d5e1df5d448be33b7690920ced776de888f5e4f.jpg"> <br>

Front How is the myocardial AP triggered? 
Back By spread of depolarization from pacemaker cells 

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