Conduction System • Intrinsic conduction system (nodal system) • Heart muscle cells contract, without nerve impulses!
Conduction System • Sinoatrial node = SA node (“pacemaker”) • right atrium
Conduction System • Atrioventricular node = AV node • junction of the right atrium and right ventricle
Conduction System • Atrioventricular bundle = AV bundle (bundle of His) • In the interventricular septum • Bundle branches • Purkinje fibers (ventricle wall muscles)
Heart Contractions • • Contraction is initiated by the SA node Impulse spreads to AV node, atria contract Contraction is delayed Passes through AV bundle, bundle branches and Purkinje fibers • “wringing” contraction – begins at apex, moves toward atria • Blood ejected
Cardiac Cycle • • Atria contract simultaneously Atria relax, then ventricles contract Systole = contraction Diastole = relaxation Left atrium Right atrium Left ventricle Right ventricle Ventricular filling Atrial contraction Mid-to-late diastole (ventricular filling) Isovolumetric Ventricular contraction phase ejection phase Isovolumetric relaxation Ventricular systole (atria in diastole) Early diastole
• Cardiac output (CO) • Amount of blood pumped by each side (ventricle) of the heart in one minute • Stroke volume (SV) • Volume of blood pumped by each ventricle in one contraction (each heartbeat) • Heart rate (HR) • Typically 75 beats per minute