128 Chapter 7
right atrium
left atrium
left ventricle
Sinoatrial
(SA) node
Bundle of
conducting
muscle fibers
right ventricle
Purkinje
fibers
Atrioventricular
(AV) node
What is the cardiac conduction system?
- The cardiac conduction system consists of specialized cardiac
muscle cells that stimulate heart contractions. The system’s
signals stimulate a rhythmic cycle of contraction, first in the
heart atria, then in the ventricles.
taKe-hoMe Message
atrioventricular (Av)
node Part of the cardiac
conduction system that
passes contraction signals
from the atria to the
ventricles.
cardiac conduction
system Self-exciting
heart muscle cells that
spontaneously generate and
conduct electrical signals.
sinoatrial (SA) node
Cluster of self-exciting cells
that establish a regular
heartbeat; also called the
cardiac pacemaker. the ventricles. At places along each bundle, cells called
Purkinje fibers pass the signal on to contractile muscle cells
in each ventricle. The slow conduction in the AV node is an
important part of this sequence. It gives the atria time to fin-
ish contracting before the wave of excitation spreads to the
ventricles.
Of all cells of the cardiac conduction system, the SA
node fires off impulses at the fastest rate and is the first
region to respond in each cardiac cycle. It is called the
“intrinsic cardiac pacemaker” because its self-generated
rhythmic firing is the basis for the normal rate of heartbeat.
People whose SA node chronically malfunctions may have
an artificial pacemaker implanted to provide a regular
stimulus for their heart contractions.
the nervous system adjusts heart activity
The nervous system can adjust the rate and strength of car-
diac muscle contraction. Stimulation by one set of nerves
can increase heart activity, while stimulation by another set
of nerves can slow it. The control centers for these adjust-
ments are in the spinal cord and parts of the brain. They are
discussed more fully in Chapter 13.
n Unlike skeletal muscle, cardiac muscle contracts—and the
heart beats—without nervous system orders.
n Links to Muscle tissue 4.3, Cell junctions 4.6
electrical signals from “pacemaker” cells
drive the heart’s contractions
Cardiac muscle cells branch, then link to one another at
their endings. Gap junctions called intercalated discs span
both plasma membranes of neigh-
boring cells (Figure 7.9). With each
heartbeat, signals for contraction
spread so fast across the junctions
that cardiac muscle cells contract
together, almost as if they were a
single unit.
Where do the signals for heart
contractions come from? About
1 percent of cardiac muscle cells
function as the cardiac conduction
system. These cells do not con-
tract. Instead, some of them are self-
exciting “pacemaker” cells—that is,
they spontaneously generate and
con duct electrical impulses. Those
impulses are the signals that stimulate contractions in the
heart’s contractile cells. Because the cardiac conduction
system is independent of the nervous system, the heart will
keep right on beating even if all nerves leading to it are cut!
Excitation begins with a
cluster of cells in the upper
wall of the right atrium (Fig-
ure 7.10). About seventy times
a minute, this sinoatrial (SA)
node generates signals that
stimulate waves of excitation.
Each wave spreads swiftly over
both atria and causes them to
contract. It then reaches the
atrioventricular (Av) node
in the septum dividing the
two atria.
When a stimulus reaches the
AV node, it slows but keeps
moving along bundles of con-
ducting fibers that extend to
Figure 7.9 intercalated discs form
communication junctions between
cardiac muscle cells. Signals travel
rapidly across the junctions and
cause cells to contract nearly in
unison. (© Cengage Learning)
intercalated
disc where
cardiac
muscle
cells meet
cardiac
muscle cell
cardiac
muscle cell
intercalated disc
R
P T
Q S
- 4
Figure 7.10 Animated! in the cardiac conduction system,
pacemaker cells produce electrical signals. In the recording of a
heartbeat above, letters indicate three waves of electrical activity
that were caused by the spread of impulses across cardiac muscle.
how Cardiac Muscle Contracts
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