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About the process
Conduction System
ECG Interpretation
ECG Rhythm Analysis
Sinus Rhythms
Atrial Rhythms
Ventricular Rhythms
Nodal Rhythms/Heart Blocks

Process - Cardiac Conduction System

To watch a video describing the relationship between the anatomy, function and conduction systems, view these two links:

https://www.youtube.com/watch?v=Lt092HZCppo
http://www.smartimagebase.com/view-item?ItemID=68385

Cardiac Conduction System is composed of the following component s:

  • SA node
    • composed of pacemaker cells
    • intrinsic rate is 60-100 bpm
    • richly supplied by sympathetic and parasympathetic nervous systems
    • initiates atrial depolarizaion (and contraction)
    • P wave

  • AV node - brief conduction delay occurs here to allow atria to contract completely before the ventricles are stimulated to contract
    • intrinsic rate is 40-60 bpm
    • PR interval

  • Bundle of His
    • located in the intraventricular septum
    • divided into right and left branches
    • fuses with Purkinje fibers
    • intrinsic rate 20-40 bpm

  • Purkinje fibers
    • end of the conduction system
    • initiates ventricular depolarization (and contraction)
    • intrinsic rate 20- 40 bpm
    • QRS complex
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