In: Nursing
how do you explain the electrical pathway of the cardiac
system?
1) Ans)
The cardiac conduction system is a group of specialized cardiac
muscle cells in the walls of the heart that send signals to the
heart muscle causing it to contract. The main components of the
cardiac conduction system are the SA node, AV node, bundle of His,
bundle branches, and Purkinje fibers. The SA node (anatomical
pacemaker) starts the sequence by causing the atrial muscles to
contract. From there, 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. This signal
creates an electrical current that can be seen on a graph called an
Electrocardiogram (EKG or ECG). Doctors use an EKG to monitor the
cardiac conduction system's electrical activity in the heart
The electrical conduction system of the heart transmits signals generated usually by the sinoatrial node to cause contraction of the heart muscle. The pacemaking signal generated in the sinoatrial node travels through the right atrium to the atrioventricular node, along the Bundle of His and through bundle branches to cause contraction of the heart muscle. This signal stimulates contraction first of the right and left atrium, and then the right and left ventricles. This process allows blood to be pumped throughout the body.
The conduction system consists of specialised heart muscle cells, and is situated within the myocardium. There is a skeleton of fibrous tissue that surrounds the conduction system which can be seen on an ECG. Dysfunction of the conduction system can cause irregular, fast, or slow heart rhythms.
Through steps
Step 1: Pacemaker Impulse Generation
The first step of cardiac conduction is impulse generation. The sinoatrial (SA) node (also referred to as the pacemaker of the heart) contracts, generating nerve impulses that travel throughout the heart wall. This causes both atria to contract. The SA node is located in the upper wall of the right atrium. It is composed of nodal tissue that has characteristics of both muscle and nervous tissue.
Step 2: AV Node Impulse Conduction
The atrioventricular (AV) node lies on the right side of the partition that divides the atria, near the bottom of the right atrium. When the impulses from the SA node reach the AV node, they are delayed for about a tenth of a second. This delay allows atria to contract and empty their contents into the ventricles prior to ventricle contraction.
Step 3: AV Bundle Impulse Conduction
The impulses are then sent down the atrioventricular bundle. This bundle of fibers branches off into two bundles and the impulses are carried down the center of the heart to the left and right ventricles.
Step 4: Purkinje Fibers Impulse Conduction
At the base of the heart, the atrioventricular bundles start to divide further into Purkinje fibers. When the impulses reach these fibers they trigger the muscle fibers in the ventricles to contract. The right ventricle sends blood to the lungs via the pulmonary artery. The left ventricle pumps blood to the aorta.
Cardiac Conduction and the Cardiac Cycle
Cardiac conduction is the driving force behind the cardiac cycle. This cycle is the sequence of events that occur when the heart beats. During the diastole phase of the cardiac cycle, the atria and ventricles are relaxed and blood flows into the atria and ventricles. In the systole phase, the ventricles contract sending blood to the rest of the body.