2026
1. Sinoatrial
Node (SA Located in RA near superior vena cava
node; Sinus
Node) Normal pacemaker of the heart because it possess the fastest inherent
rate of automaticity
Initiates a rhythmic impulse
2. Intra-atrial Path- Intrinsic rate (adult): 60-100
way
bpm
Conducts impulse from SA node through atrial musculature to AV node.
3. Atrioventricula Consists of:
r Node (AV
node) Anterior tract (Bachmann's):
through LA Middle tract
(Wenckebach's): through RA
Posterior tract (Thorel's): through
RA
Located in the floor of RA, near the tricuspid
valve Delays impulse from atria before it moves to
ventricles Allows for ventricular filling
Serves as a protective mechanism against rapid superventricular impulses
4. Junctional Tissue Located in the tissue surrounding the AV node, above the bifurcation of
the bundle of HIS
Serves as backup pacemaker
Intrinsic rate (adult): 40-60 bpm
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2026
5. Bundle of HIS Connects AV node to Right and Left bundle branches
6.
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