Cardioversion: Electrical system of the heart


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Cardioversion: Electrical system of the heart


Illustration of the electrical system of the heart

In the normal heart, electrical impulses precisely pace the rhythm at which the heart contracts and relaxes. The sinoatrial (SA) node triggers the electrical impulse, causing the upper chambers (atria) to contract. The signal travels through the atrioventricular (AV) node to the atrioventricular bundle, which divides into the Purkinje fibers that carry the signal and cause the lower chambers (ventricles) to contract. The electrocardiogram (EKG, ECG) tracing above reflects this normal electrical activity.

Credits


Primary Medical Reviewer Caroline S. Rhoads, MD - Internal Medicine
Specialist Medical Reviewer Laurence Epstein, MD - Cardiac Electrophysiologist
Last Updated January 18, 2007

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