MEDICAL PHYSIOLOGY

PHYSIOLOGY

CARDIOVASCULAR PHYSIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Where does the electrical activity in the heart start?
A
Atrioventricular Node (AV)
B
Sinoatrial Node (SA)
C
Bundle Branches
D
Purkinje Fibres
Explanation: 

Detailed explanation-1: -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. These cells have the ability to spontaneous generate an electrical impulse. It is the integrated activity of these so-called pacemaker cells that form the SA node.

Detailed explanation-2: -The SA node starts the sequence by causing the atrial muscles to contract. That’s why doctors sometimes call it the anatomical pacemaker. Next, the signal travels to the AV node, through the bundle of HIS, down the bundle branches, and through the Purkinje fibers, causing the ventricles to contract.

Detailed explanation-3: -The SA (sinoatrial) node generates an electrical signal that causes the upper heart chambers (atria) to contract. The signal then passes through the AV (atrioventricular) node to the lower heart chambers (ventricles), causing them to contract, or pump. The SA node is considered the pacemaker of the heart.

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