“…The ionic mechanisms of the pacemaker activity have been one of the central research subjects in cardiac electrophysiology (DiFrancesco, 2010). It is generally agreed now that multiple mechanisms such as the hyperpolarization-activated non-selective cationic "funny" current (I f ) (DiFrancesco, 2010),the L-type (I Ca,L ) (Kurata et al, 2003) and T-type Ca 2+ currents (I Ca,T ) (Ono & Iijima, 2010), Na + /Ca 2+ exchanger (I NCX ) , and a sustained inward current (I st ) (Shinagawa et al, 2000), may be involved in the generation and regulation of spontaneous pacemaker activity, although the relative contribution of these individual ionic currents are still under debate. Early studies using ion-substitution strategies in multicellualr Purkinje fibers and SAN tissues provided initial experimental evidence for the potential physiological role of Cl -and other anions in the regulation of membrane potentials, the diastolic depolarization and action potential duration of cardiac cells (Carmeliet, 1961;Hutter & Noble, 1961;De Mello, 1963;Noma & Irisawa, 1976).…”