
The heart is a pump made up of muscle tissue. Its pumping action is regulated by an electrical conduction system that coordinates the contraction of its various chambers. This electrical conduction system is a network of nodes, cells, and signals that controls the heartbeat. Each time the heart beats, electrical signals travel through the heart, causing different parts of it to expand and contract, thereby regulating blood flow. These electrical signals are generated by the sinoatrial (SA) node, which is located in the upper right chamber of the heart. The SA node is the heart's natural pacemaker, sending electrical impulses that start the heartbeat. The electrical impulses then travel from the SA node to the atrioventricular (AV) node, where they are slowed down before continuing down the conduction pathway through the bundle of His into the ventricles. The bundle of His is a branch of nerve cells that carries the electrical signal from the AV node to the Purkinje fibers, which have a fast conduction rate, allowing the electrical impulse to reach all ventricular muscle cells in about 75 ms. The electrical impulses that travel through the heart are facilitated by gap junctions, which are formed when specific proteins from one cell dock and fuse with those of another.
| Characteristics | Values |
|---|---|
| What is the cardiac conduction system? | A network of nodes, cells and signals that controls your heartbeat. |
| What does the conduction system do? | Sends signals to the heart to tell it when to beat and when to relax and contract. |
| What is the SA node? | The SA node is the heart's natural pacemaker. It sends the electrical impulses that start the heartbeat. |
| What is the AV node? | The AV node delays the SA node's electrical signal by a fraction of a second. This ensures that the atria are empty before the contraction stops. |
| What are gap junctions? | The connections between cells forming the low resistance pathway and facilitating the current flow. |
| What are the two types of cardiac muscle cells? | Myocardial contractile cells and myocardial conducting cells. |
| What are Purkinje fibres? | A branch of nerve cells that extends from the AV node and carries the electrical signal to the Purkinje fibres. |
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What You'll Learn
- The sinoatrial (SA) node creates an excitation signal, acting as the heart's pacemaker
- The atrioventricular (AV) node slows the signal, ensuring the atria is empty before the ventricles contract
- The bundle of His carries the signal to the Purkinje fibres
- The Purkinje fibres have a fast conduction rate, reaching all ventricular muscle cells in about 75ms
- Gap junctions allow ions to flow between cells, allowing for the coordinated contraction of the heart

The sinoatrial (SA) node creates an excitation signal, acting as the heart's pacemaker
The human heart is a pump made up of muscle tissue. As with all muscles, the heart requires a source of energy and oxygen to function. The heart's pumping action is regulated by an electrical conduction system that coordinates the contraction of the various chambers of the heart. The cardiac conduction system is a network of nodes, cells, and signals that controls the heartbeat. Each heartbeat involves the transmission of electrical signals through the conduction pathway of the heart.
The sinoatrial (SA) node, also known as the sinus node, is a small mass of specialised tissue located in the right upper chamber (atria) of the heart. The SA node is about 15mm long and 4mm wide and is shaped like a key. It is located at the junction of the crista terminalis in the upper wall of the right atrium and the opening of the superior vena cava. The SA node is made up of a crescent-like cluster of myocytes with pacemaker activity.
The SA node creates an excitation signal, acting as the heart's pacemaker. It generates electrical impulses that set the rhythm and rate of the heart. These impulses are transmitted by perinodal or transitional (T) cells to the right atrium and then through the rest of the heart's electrical conduction system, resulting in myocardial contraction and blood distribution to the rest of the body. The SA node generates an electrical stimulus regularly, 60 to 100 times per minute under normal conditions.
The electrical stimulus travels through the conduction pathways, causing the heart's ventricles to contract and pump out blood. The upper chambers of the heart (atria) are stimulated first and contract briefly before the lower chambers (ventricles). The atrioventricular (AV) node, located near the central area of the heart, delays the SA node's electrical signal by a fraction of a second. This delay ensures that the atria (upper chambers) are empty before the contraction stops. The electrical signal is then carried to the Purkinje fibres, which have a fast inherent conduction rate, causing the ventricular muscle cells to contract and pump blood out to the body.
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The atrioventricular (AV) node slows the signal, ensuring the atria is empty before the ventricles contract
The human heart is a pump made of muscle tissue. It requires a source of energy and oxygen to function. The heart's pumping action is regulated by an electrical conduction system that coordinates the contraction of the various chambers of the heart. This electrical conduction system is a network of nodes, cells, and signals that controls the heartbeat. Each time the heart beats, electrical signals travel through the heart, causing different parts of it to expand and contract.
The atrioventricular (AV) node is a small structure located near the central area of the heart. It receives electrical signals from the sinus node (also called the sinoatrial node or SA node) and slows them down by a consistent amount of time (a fraction of a second) before sending them to the ventricles. This delay ensures that the atria (upper heart chambers) are empty before the ventricles (lower heart chambers) contract. The atria receive blood from the body and empty it into the ventricles.
The SA node is a small mass of specialized tissue located in the right upper chamber (atria) of the heart. It acts as the heart's natural pacemaker, generating an electrical stimulus regularly, typically 60 to 100 times per minute under normal conditions. The SA node is controlled by the autonomic nervous system, which determines the rate at which it sends electrical signals. When the SA node is not functioning properly, the lower segments of the conduction system act as backup pacemaker cells.
The electrical signal from the AV node is carried to the Purkinje fibers by the bundle of His, a branch of nerve cells extending from the AV node. The bundle of His runs down the length of the septum (wall) separating the right and left ventricles, ensuring the signal reaches all ventricular muscle cells. The Purkinje fibers then facilitate the contraction of the ventricles, allowing blood to be pumped out into the aorta and pulmonary trunk.
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The bundle of His carries the signal to the Purkinje fibres
The bundle of His is a crucial component of the heart's electrical conduction system, which is responsible for regulating the heartbeat. This bundle comprises a branch of nerve cells, extending from the atrioventricular (AV) node, located near the centre of the heart. The AV node plays a role in delaying the electrical signal generated by the sinoatrial (SA) node, ensuring the upper heart chambers (atria) are empty before the contraction stops.
The bundle of His receives the electrical signal from the AV node and acts as a pathway to carry this signal to the Purkinje fibres. This bundle of nerve cells runs along the septum, the wall that separates the right and left ventricles of the heart. The bundle has two main branches: the left bundle branch and the right bundle branch.
The left bundle branch transmits the electrical signal to the Purkinje fibres located in the left ventricle, while the right bundle branch sends the signal to the Purkinje fibres in the right ventricle. These Purkinje fibres are specialised nerve cells that rapidly transmit the electrical signals to the ventricular walls, coordinating the contraction of the heart muscle.
The entire process, from the initiation of the electrical impulse in the SA node to the contraction of the ventricles, occurs swiftly and efficiently, ensuring the proper functioning of the heart and the regulation of blood flow throughout the body.
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The Purkinje fibres have a fast conduction rate, reaching all ventricular muscle cells in about 75ms
The Purkinje fibres play a crucial role in the rapid transmission of electrical signals within the heart, ensuring synchronised and efficient contractions of ventricular muscle cells. These specialised fibres exhibit an exceptionally fast conduction rate, enabling them to swiftly transmit action potentials throughout the ventricular myocardium.
The unique structure and physiological properties of Purkinje fibres contribute to their remarkable conduction velocity. They possess a larger diameter compared to typical cardiac muscle cells, and their cell membranes are enriched with an abundance of gap junctions, which facilitate rapid electrical impulse propagation from cell to cell.
The fast conduction rate of Purkinje fibres becomes evident as they swiftly transmit electrical signals to all ventricular muscle cells within approximately 75 milliseconds. This rapid conduction ensures timely and coordinated contractions of the ventricles, allowing for efficient pumping of blood from the heart to the rest of the body.
The rapid conduction velocity of Purkinje fibres is essential for maintaining the synchrony of ventricular contractions and optimising cardiac output. Their ability to rapidly transmit electrical impulses helps maintain the normal rhythm of the heart and ensures the efficient ejection of blood with each heartbeat.
In summary, the Purkinje fibres, with their distinctive structural and physiological characteristics, facilitate rapid electrical signal transmission throughout the ventricular myocardium. Their fast conduction rate, reaching all ventricular muscle cells in about 75 milliseconds, underscores the importance of these specialised fibres in ensuring the coordinated and efficient functioning of the heart.
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Gap junctions allow ions to flow between cells, allowing for the coordinated contraction of the heart
The human heart is an incredible organ, with its own built-in electrical system that keeps it beating and pumping blood around the body. This electrical conduction system is made up of a network of nodes, cells and signals. Each time the heart beats, electrical signals travel through it, causing it to expand and contract, and regulating blood flow.
The electrical signals that travel through the heart are carried by conducting cells. These signals tell the heart when to pump blood, when to relax and when to contract. The conduction system contains specialised cells and nodes that control the heartbeat. The sinoatrial (SA) node, for example, is the heart's natural pacemaker, sending the electrical impulses that start the heartbeat.
The electrical impulses that travel through the heart are passed from cell to cell. This is facilitated by gap junctions, which form a low resistance pathway between cells. Gap junctions are made up of many channels, which are formed when specific proteins from one cell dock and fuse with the proteins from another cell. This process allows ions to flow between the cells, ensuring the coordinated contraction of the heart.
Gap junctions within the intercalated discs allow impulses to spread from one cardiac muscle cell to another, allowing sodium, potassium and calcium ions to flow between adjacent cells. This flow of ions propagates the action potential, ensuring the heart contracts in a coordinated way. This process is known as autorhythmicity, and it is unique to cardiac muscle.
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Frequently asked questions
Electric signals are transferred between cardiac cells through gap junctions, which are formed when specific proteins from one cell dock and fuse with the proteins from another cell.
Gap junctions are connections between cells that form a low resistance pathway and facilitate the current flow. They consist of many channels that allow sodium, potassium, and calcium ions to flow between adjacent cells, propagating the action potential, and ensuring coordinated contractions.
Gap junctions within the intercalated discs allow impulses to spread from one cardiac muscle cell to another, ensuring the heart contracts and pumps blood effectively.
Cardiac cells are a network of specialized muscle cells found in the heart's walls. These cells send signals to the rest of the heart muscle, causing it to contract.
The main parts of the cardiac conduction system are the SA node, AV node, bundle of His, bundle branches, and Purkinje fibers. The SA node acts as the heart's natural pacemaker and sends electrical impulses that start the heartbeat.


































