Our results predict that: (1) inhibitors of hERG/KCNQ1 channels (Nakaya et al., 2000); (2) activators of Ca channel; or (3) cellular mediators that either limit IKr/IKs channel opening or promote ICa,L opening would be expected to limit abbreviation of atrial APD and therefore vulnerability to supraventricular arrhythmias in patients with metabolic disorders. This evidence concerns the gene KCNH2 and Other metabolic disease.