Introduction
The heart's conducting system consists of the sinoatrial
node (SA node), atrioventicular node (AV node), the bundle of His, the bundle branches and the Purkinje fibers.
The electrical impulse that causes rhythmic contraction of heart muscles
arises in the SA node which is the intrinsic pacemaker of
the heart. From the SA node, the impulse spreads over the atrial muscles causing
atrial contraction. The impulse is also conducted to the atrioventicular
(AV) node.
From the AV node the electrical impulse is conducted to ventricular
muscles via the bundle of His, the bundle branches and the
Purkinje fibers. The bundle branches and the Purkinje fibers are collectively
called the ventricular conduction system.