<< Chapter < Page Chapter >> Page >

Conduction system of the heart

This image shows the anterior view of the frontal section of the heart with the major parts labeled.
Specialized conducting components of the heart include the sinoatrial node, the internodal pathways, the atrioventricular node, the atrioventricular bundle, the right and left bundle branches, and the Purkinje fibers.

Sinoatrial (sa) node

Normal cardiac rhythm is established by the sinoatrial (SA) node    , a specialized clump of myocardial conducting cells located in the superior and posterior walls of the right atrium in close proximity to the orifice of the superior vena cava. The SA node has the highest inherent rate of depolarization and is known as the pacemaker    of the heart. It initiates the sinus rhythm    , or normal electrical pattern followed by contraction of the heart.

This impulse spreads from its initiation in the SA node throughout the atria through specialized internodal pathways    , to the atrial myocardial contractile cells and the atrioventricular node. The internodal pathways consist of three bands (anterior, middle, and posterior) that lead directly from the SA node to the next node in the conduction system, the atrioventricular node (see [link] ). The impulse takes approximately 50 ms (milliseconds) to travel between these two nodes. The relative importance of this pathway has been debated since the impulse would reach the atrioventricular node simply following the cell-by-cell pathway through the contractile cells of the myocardium in the atria. In addition, there is a specialized pathway called Bachmann’s bundle    or the interatrial band    that conducts the impulse directly from the right atrium to the left atrium. Regardless of the pathway, as the impulse reaches the atrioventricular septum, the connective tissue of the cardiac skeleton prevents the impulse from spreading into the myocardial cells in the ventricles except at the atrioventricular node. [link] illustrates the initiation of the impulse in the SA node that then spreads the impulse throughout the atria to the atrioventricular node.

Cardiac conduction

This image shows the different stages in the conduction cycle of the heart.
(1) The sinoatrial (SA) node and the remainder of the conduction system are at rest. (2) The SA node initiates the action potential, which sweeps across the atria. (3) After reaching the atrioventricular node, there is a delay of approximately 100 ms that allows the atria to complete pumping blood before the impulse is transmitted to the atrioventricular bundle. (4) Following the delay, the impulse travels through the atrioventricular bundle and bundle branches to the Purkinje fibers, and also reaches the right papillary muscle via the moderator band. (5) The impulse spreads to the contractile fibers of the ventricle. (6) Ventricular contraction begins.

The electrical event, the wave of depolarization, is the trigger for muscular contraction. The wave of depolarization begins in the right atrium, and the impulse spreads across the superior portions of both atria and then down through the contractile cells. The contractile cells then begin contraction from the superior to the inferior portions of the atria, efficiently pumping blood into the ventricles.

Questions & Answers

what is metabolism
fred Reply
Chemical reaction that takes in place in the cell of a living organism that includes anabolism and Catobolism.
Norman
Catabolism*
Norman
metabolic chemical reaction is of two types, anabolism and catabolism. The break down of larger molecules into smaller molecules is called catabolism.
Ahmad
Metabolism is the chemical reaction that includes anabolism and catabolism
Kedha's
Anabolism is the chemical reaction that combines all the smaller quantities to make large
Kedha's
Catabolism is the chemical process that breaks larger quantities into small
Kedha's
what's abdominal police?
Mohamed
hcl
Annette
hydrochloric acid is the stomach police
Annette
its the stomach omentum
Agama
description of the ears
Nana Reply
which component of mucus allows it to maintain local level of hydration
Loriann Reply
can the teeth be classify under bones?
Ojaga Reply
Bony prominents
guka
What is the largest muscle in the lower leg
Gwen Reply
what's a nervous system
Dante Reply
Is a the group of neurons and glial cells that work together to receive, integrate and responds appropriately to stimulus in the periphery, spinal cord and brain.
Hertzo
study about internal structure, outer structure and their functions
Navdeep Reply
circulatory system on blood pressure
Lakhu Reply
What is ELISA
POULAMI Reply
(enzyme linked immunosorbent assay) is a test that uses antibodies and color change to identify a substance.
luke
tr
Mohamed
what's defense mechanism?
Saintina
psychological strategies that are unconsciously used to protect a person from anxiety arising from unacceptable thoughts or feelings.
Henry
difference between apocrine sweat glands and merocrine sweat glands
Binkheir Reply
I believe the apocrine sweat gland uses a sac under the hair follicle and the merocrine sweat gland releases directly on to the surface of the skin
Mark
normal blood volume in our body
pankaj Reply
5Litres
Albert
Normal blood volume in adults is 6 litres
Kedha's
4.7 to 5ltr.. normal for adult
Clangbhelle
what are the advantages of the concave shape of red blood cells?
Amy Reply
This structure is VERY flexible. It can allow these cells to get into the most tiny places in our bodies. a VERY good design! The advantage of red blood cells' biconcave shape is that the surface area is increased to allow more haemoglobin to be stored in the cell.
Saafi
They can stack so that they can move to capillaries
Nejat
what is the difference between phagocytosis and Pinosis
fred
action of gluteus medius and minimus
Green Reply
Lateral rotation of the hip joint
Hertzo
Briefly explain location of ecg on a patient
Prince Reply
it is a machine that gives a graphical representation of heart beat
Nani
Briefly explain location of ecg leads on a patient?
Prince
in ecg we use electrical leads over the chest ,ancle and wrist
Nani
what is the anatomical and function difference between paravertebral and prevertebral ganglia ?
Rada Reply

Get the best Anatomy & Physiology course in your pocket!





Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
Google Play and the Google Play logo are trademarks of Google Inc.

Notification Switch

Would you like to follow the 'Anatomy & Physiology' conversation and receive update notifications?

Ask