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Atrioventricular Node (AV Node), A Group of Autorhythmic Cells Bundles of His or Atrioventricular Bundle. The Bundle Passes
Atrioventricular Node (AV Node), A Group of Autorhythmic Cells Bundles of His or Atrioventricular Bundle. The Bundle Passes
Atrioventricular Node (AV Node), A Group of Autorhythmic Cells Bundles of His or Atrioventricular Bundle. The Bundle Passes
Heart
• The Sinoatrial node (SA node), is a group of autorhythmic cells
(main pacemaker of the heart) in the right atrium near the entry of
the superior vena cava.
• An internodal pathway connects the SA node to the
atrioventricular node (AV node), a group of autorhythmic cells
found near the floor of the right atrium.
• From the AV node action potentials move into fiber known as the
bundles of his or atrioventricular bundle. The bundle passes
from the AV node into the wall of the septum between the ventricles.
• A short way down the septum the bundle divides into left and right
bundle branches.
• These fibers continue downward to the apex where they divide into
many small purkinje fibers that spread outward among the
contractile cells.
• If the electrical signals from the atria were conducted
directly into the ventricles, the ventricles would start to
contraction at the top. Then the blood would be
squeezed downward and trapped at the bottom of the
ventricle.
No P waves
ECGs, Abnormal
• Quiescent period
• Atrial systole
• Isovolumetric
contraction
• Ventricular
ejection
• Isovolumetric
relaxation
• Ventricular filling
Rate of Cardiac Cycle
• Atrial systole, 0.1 sec
• Ventricular systole, 0.3 sec
• Quiescent period, 0.4 sec
• Total 0.8 sec, heart rate 75 bpm
Overview of Volume Changes
End-systolic volume (ESV) 60 ml
Passively added to ventricle
during atrial diastole 30 ml
Added by atrial systole 40 ml
Total: end-diastolic volume (EDV) 130 ml
Stoke volume (SV) ejected
by ventricular systole -70 ml
End-systolic volume (ESV) 60 ml
Both ventricles must eject same amount of
blood
Unbalanced Ventricular
Output
Unbalanced Ventricular
Output
Cardiac Output (CO)
• Amount ejected by each ventricle in 1
minute
• CO = HR x SV
• Resting values, CO = 75 beats/min x70
ml/beat = 5,250 ml/min, usually about 4 to
6L/min
• Vigorous exercise CO to 21 L/min for fit
person and up to 35 L/min for world class
athlete
• Cardiac reserve: difference between
maximum and resting CO
Diastole and Systole
• Diastole - the time during which cardiac muscle relaxes.
• Systole - the time in which cardiac muscle is contracting.