Sinoatrial Node

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On the posterior part of the right atrial wall, adjacent to the junction of the superior vena cava and the right atrium, is a specialized conduction system cell area called the sinoatrial node (SA node). It is horseshoe shaped and located just beneath the epicardium.

Although the depolarization of the SA node is the first step of the cardiac cycle, it does not produce enough energy to be recorded by the electrocardiograph.

The depolarization wave spreads down these specialized cardiac conduction system fibers over the atria by way of internodal and interatrial pathways known as Bachmann's bundle. These specialized fibers transmit impulses six times faster than do ordinary cell-to-cell interconnections. These pathways trigger the contraction of other cells in the atrium more rapidly than if the depolarization wave followed the cell-to-cell interconnections.

The SA node sets the heart rate at 72 beats per minute rather than the 60 beats per minute intrinsic to the atria alone or the 20-40 beats per minute intrinsic to the ventricals alone.


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