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There are artificial biological pacemakers which express funny channels. I am thinking if it is possible to have also naturally occurring (only in recovery cases and in silent tissues) biological pacemakers for some patients of specific genome.

My studied Patient

68 years old, has these medications

  • Digoxin,
  • Hydrochlorthiazide,
  • Inderal,
  • KCl

The PVCs are uniform and late-cycle. Junctional escape beats occur following episodes of ventricular trigeminy.

I though this idea because there are some phases which I cannot explain by other means.

What are the possible naturally occurring Biological Pacemakers in silent tissues?

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