Stages in the cardiac cycle table


The wave of depolarisation spreads across the heart in a coordinated manner
Explain the roles of the sinoatrial node, the atrioventricular node and the Purkyne fibres in a heartbeat.
The Sinoatrial node sends out a wave of excitation and this spreads across both atria, causing atrial systole. Non-conducting tissue called the Annulus fibrosus prevents the excitation from spreading to the ventricles and so this ensures that atria and ventricles don’t contract at the same time. The Atrioventricular node then sends the wave of excitation to the ventricles after a short delay of around 0.1 - 0.2 seconds, ensuring that the atria have time to empty their blood into the ventricles. The Purkyne fibres conduct the excitation down the septum of the heart and to the apex, before the excitation is carried upwards in the walls of the ventricles. This means that during ventricular systole, the blood contracts from its base and blood is pushed upwards and outwards.
Remember that the heart is myogenic, which means that the heart will generate a heartbeat by itself and without any other stimulation. Instead, the electrical activity of the heart regulates the heart rate.Be aware that you may sometimes see an alternative spelling of "Purkyne" as "Purkinje" they mean the exact same thing!
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