Conducting system of the heart.

Conducting System of the Heart

The heart's conducting system is a network of specialized cells that generate and transmit electrical impulses to coordinate heartbeats, ensuring efficient blood pumping. It's like the heart's wiring, allowing synchronized contractions. Below is a concise overview, easy to follow, with real physiological data based on human anatomy.

Key Components

  1. Sinoatrial (SA) Node: The heart's natural pacemaker, located in the right atrium's upper wall. It initiates impulses.

    • Real data: Fires at 60–100 times per minute (resting heart rate in adults); impulse speed ~0.05 m/s.

  2. Atrioventricular (AV) Node: Acts as a relay station in the lower right atrium, delaying the signal to allow atrial contraction before ventricles.

    • Real data: Delay of ~0.1 seconds; located near the tricuspid valve.

  3. Bundle of His (AV Bundle): A short pathway from the AV node, splitting into left and right branches along the interventricular septum.

    • Real data: Conduction speed ~1–4 m/s; length ~1–2 cm.

  4. Bundle Branches: Right and left branches carry impulses down the septum to the ventricles.

    • Real data: Left branch is thicker; total conduction time from AV node to ventricles ~0.15 seconds.

  5. Purkinje Fibers: Fine fibers spreading from bundle branches into ventricular muscle walls, triggering rapid contraction.

    • Real data: Fastest conduction at ~2–4 m/s; enable near-simultaneous ventricular squeeze, ejecting ~70 mL of blood per beat (stroke volume in adults).

How It Works

  • The SA node generates an electrical signal, spreading through atria to contract them (P wave on ECG).

  • Signal reaches AV node, pauses briefly, then travels via Bundle of His and branches to Purkinje fibers.

  • Ventricles contract from apex upward (QRS complex on ECG), followed by relaxation (T wave).

  • Full cycle: ~0.8 seconds at rest, maintaining cardiac output of ~5 liters/minute.