Impulse Generation and Conduction
Impulse Generation and Conduction
Impulse Generation and Conduction
Purkinje
fibers
Purkinje
fibers
• Heart is autorhythmic
• Depolarization begins in sinoatrial (SA) node
• Spread through atrial myocardium
• Delay in atrioventricular (AV) node
The delay is to allow time for the atria to empty their blood into the
ventricles before ventricular contraction begins
This delay is caused by Atrial-ventricular node and its adjacent conductive
fibers
The Atrial-ventricular node is located in the posterior wall of the right
atrium below the tricuspid valve
From the sinus through the inter-nodal pathways ,the impulse reaches the
Atrial-ventricular node after about 0.03 second
There is a delay of 0.09 second in the atrial-ventricular node itself before
the impulse enters the atrial-ventricular bundle where it passes into the
ventricles
• Spread from
atrioventricular (AV)
node
• AV bundle
• Bundle branches
• Purkinje fibers
• Depolarization in SA
node precedes
depolarization in atria,
AV node, ventricles