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Atrioventricular (av) node

The atrioventricular (AV) node    is a second clump of specialized myocardial conductive cells, located in the inferior portion of the right atrium within the atrioventricular septum. The septum prevents the impulse from spreading directly to the ventricles without passing through the AV node. There is a critical pause before the AV node depolarizes and transmits the impulse to the atrioventricular bundle (see [link] , step 3). This delay in transmission is partially attributable to the small diameter of the cells of the node, which slow the impulse. Also, conduction between nodal cells is less efficient than between conducting cells. These factors mean that it takes the impulse approximately 100 ms to pass through the node. This pause is critical to heart function, as it allows the atrial cardiomyocytes to complete their contraction that pumps blood into the ventricles before the impulse is transmitted to the cells of the ventricle itself. With extreme stimulation by the SA node, the AV node can transmit impulses maximally at 220 per minute. This establishes the typical maximum heart rate in a healthy young individual. Damaged hearts or those stimulated by drugs can contract at higher rates, but at these rates, the heart can no longer effectively pump blood.

Atrioventricular bundle (bundle of his), bundle branches, and purkinje fibers

Arising from the AV node, the atrioventricular bundle    , or bundle of His    , proceeds through the interventricular septum before dividing into two atrioventricular bundle branches    , commonly called the left and right bundle branches. The left bundle branch has two fascicles. The left bundle branch supplies the left ventricle, and the right bundle branch the right ventricle. Since the left ventricle is much larger than the right, the left bundle branch is also considerably larger than the right. Portions of the right bundle branch are found in the moderator band and supply the right papillary muscles. Because of this connection, each papillary muscle receives the impulse at approximately the same time, so they begin to contract simultaneously just prior to the remainder of the myocardial contractile cells of the ventricles. This is believed to allow tension to develop on the chordae tendineae prior to right ventricular contraction. There is no corresponding moderator band on the left. Both bundle branches descend and reach the apex of the heart where they connect with the Purkinje fibers (see [link] , step 4). This passage takes approximately 25 ms.

The Purkinje fibers    are additional myocardial conductive fibers that spread the impulse to the myocardial contractile cells in the ventricles. They extend throughout the myocardium from the apex of the heart toward the atrioventricular septum and the base of the heart. The Purkinje fibers have a fast inherent conduction rate, and the electrical impulse reaches all of the ventricular muscle cells in about 75 ms (see [link] , step 5). Since the electrical stimulus begins at the apex, the contraction also begins at the apex and travels toward the base of the heart, similar to squeezing a tube of toothpaste from the bottom. This allows the blood to be pumped out of the ventricles and into the aorta and pulmonary trunk. The total time elapsed from the initiation of the impulse in the SA node until depolarization of the ventricles is approximately 225 ms.

Questions & Answers

briefly explain the similarities between transcription and DNA replication
Emmanuel Reply
transcription copies DNA into RNA while replication makes another copy of DNA
Goode
A general explanation: Replication occurs when a copy of DNA is made. Transcription is the first step in the process of protein synthesis. Messenger RNA is made using a portion of the DNA molecule as a template.
Lessa
what is the main function of the pcn?
DAVID Reply
career in the health professions, respond appropriately to signs of illness, help you in your roles as a parent, spouse
Coach Reply
student would have an appreciation of the heart anatomy to give understanding of anatomy while opening ideas of function and physiology
Coach
study of the parts of the body
Coach
macro anatomy, study of big structures of the body that can be viewed with the naked eye
Coach
that is called gross anatomy
Patrick
what is integumentry
Amiebo Reply
chemical level cell level tissue level organs level organ system organism
sam Reply
when you sitting close to a campfire your sense smell adapts the smell but when the trace of smoke is introduced into your environments it becomes unsual for you
sam
I need to know mechanism of body fluid
johnson
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johnson
ask how
Amiebo
oh ft, help out with integumentary system now
Amiebo
Pls give me a brief description of vetebra
Deborah Reply
7 cervical (c1 atlas and c2 axis help the neck rotate) 12 thoracic 5 lumbar 1 sacral and 2 coccyx
Anna
breakfast at 7, lunch at 12, and dinner at 5. sacrum holds 5, coccyx holds 4
Patrick
really there's just one coccyx and sacrum
Patrick
atlas like the Greek God holds the weight of the world on top of him
Patrick
elasticity of the vagina
Mariam Reply
The vagina is an elastic muscular wall
antouman
*organ
antouman
It has I think squamous cuboidal or maybe columnar epithelium designed for secretion, expansion and friction.
Patrick
how can you remember the integumentary system
Naomi Reply
integumentary system is the skin the skin is protection all the body and contain deid cells
Drs
how can you remember the formation of bone?
Maame
the largest organ of the body
Toni
skin is largest organ
Zara
what is the best way to remember the cranial bones or any other bones ?
Savannah
skeletal system?
Savannah
look at the diagram structure and then remember it considering it your own body i memorise like that
Zara
hi guys! do you have to remember ALL the structures of the bones- I mean every single hole, depression or tuberosity?
Kristina
tuborisity
Zara
hey guz i hv to remember Immune antibodies and antigens how? i found it difficult
Zara
well, they are all grouped, aren't they? I mean they all come in series like H1, H2A, H2B and so on. In this case I learn the common part first and then that what's different
Kristina
nd what about IgG , IgE etc.
Zara
the majors
Toni
the thin skin does not have stratum lucidium I believe
Patrick
acronyms
Patrick
if u know the bones, the muscle has part of the name of the bone in it
Patrick
epidermis, I believe epi means on top. dermis in the middle and hypodermis, hypo meaning below. the hypodermis is actually considered not part of the skin or int system
Patrick
big sweet guys love candy = basale, spinosum, granulosum, lucidum ( only in thick skin), corneum
Anna
I love it ☝🏾
Savannah
thank you Zara !
Savannah
can anyone send diet plan for asthma patients
waseem
is
Drs
hey
Daud
jam how are you
Daud
Hey guys l am Matrin
Matrin
blood is a connective tissue which transport oxygen and other nutrients to body
Zara Reply
which type of protein is blood?
Zara
what is blood?
Masthan Reply
blood is a connective tissue which transport oxygen and nutrients to body
Zara
which type of protein is blood?
Zara
haemoglobin
Rashid
and what about its structure i think its Quartenary structure 🤔💭
Zara
yes it is
Rashid
it is globular
Rashid
a vascular structure compose of vessels.
Toni
what is the functions of lymph
moula Reply
what is plasma
Chukwu Reply
A plasma is a hot ionized gas consisting of approximately af a equal number of positive ly charged ionized and negative ly charged electron is called plasma.
Muhammad
what is an atomical position?
Madinatu
military position, body erect where by the body will be up straight..the cephalic and thoracic are straight
Mwita
functions of plasma membrane
Dinyando Reply
what is heparin
Lawrence Reply
why is it anatomy
Tenacious Reply
hello
ASIMENU
hi
asare
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Tenacious
anatomy is the scientific study of the body's structure
Lawrence
great
Lawrence
good night
Kaaya
anatomy is the study of form, physiology is the study of function
Patrick
anatomy is the study of the structure of the body and the physical relationship between it constituent part
Florence
what is heparin
Lawrence
what is the trunk
Tenacious
trunk is define as a person's or animal's body apart from the limp and head
Lawrence
The trunk is part of the axial skeleton
Patrick
hellow friends
mickson
hi friends
mickson
Hi
REEMA
hii
sampath
hi
Inayat
am fine
Ematai

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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