The prepotential is a gradually change in the electrical charge at the inner surface of the cell membrane. When the charge reaches a certain value (i.e., threshold potential) there is a rapid influx of calcium ions that leads to a heart beat. Section A of the action potential graph at the bottom of the model represents the prepotential.
The ubiquitous membrane-bound sodium-potassium pump is represented as ATP within a circle. The block arrows indicate the removal of three sodium ions (Na+) from the cytoplasm in exchange for two potassium ions (K+) from the interstitial fluid. This type cell is unique in that, unlike most body cells, there are few if any potassium leakage channels. However, like most other cells, there is a small population of sodium leakage channels (cylinder).
The constant activity of this pump--assumming the ions it moves are available in the appropriate compartments: