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UNIT 2 NOTES: 
Cardiac 
Conduction 
System
(1) Conduction System of Heart 
• Conduction System = Heart Beat & Pumping 
• Cardiac Contractions = Unconscious 
– Autonomic Nervous System  decrease or 
increase heart rate depending on circumstance
(2) Depolarization Path of the Heart 
• Describes the path the nerve impulses 
travel to make the heart contract and pump 
blood. 
• The Path: 
1. SA Node  AV Node 
2. Atria Contract 
3. (Delay)  AV Bundle 
4. Ventricles Contract 
(Blood ejected out of arteries, leaving heart)
(3) Nodes & Bundles 
• Sinoatrial Node (SA Node) 
– Right atrium 
– Starts each heart beat & sets rate 
– “Pacemaker” 
• Atrioventricular Node (AV Node) = Left atrium 
• AV Bundle = 
– Bundle Branches (along septum) 
– Purkinje Fibers (along entire muscular wall of heart)
(4) Cardiac Cycle 
Phase 1- Diastole (Relaxation) 
– Blood passively filling atria. 
– All valves exiting ventricles closed. 
Phase 2-Systole (Contraction) 
– Ventricles contract and blood 
ejected out of heart. 
– All AV valves must be closed.
(5) Diastole Details 
1. Ventricles relax 
2. Semilunar valves closed 
3. Ventricular Presure < Atrial Pressure 
– AV valves open 
– Ventricles fill with blood 
4. Atria contract and force blood remaining in 
chambers into ventricles
(6) Systole Details 
1. Pressure increases in ventricles 
- Filled with blood 
1. AV valves close 
3. Pressure in ventricles > Arteries leaving 
heart 
- Semilunar valves open 
- Blood rushes out of ventricles 
4. Atria are relaxed and begin to fill back up
(7) Cardiac Conduction Summary 
• Diastole: 
– Semilunar valves are closed. 
– AV valves are open. 
– Blood passively pouring into atria, and down into 
ventricles. 
– Only slight contraction of atria at the end to empty atria. 
– AV valves swing shut when ventricles full. 
• Systole: 
– AV valves are closed. 
– Ventricles contract and pump/eject blood out of heart. 
– Blood exits out Semilunar Valves (which must open). 
– Semilunar Valves close back up at end, and AV valves 
open back up.
(8) Heart Beat 
• You hear something like “lub” “dup” 
– “lub” = closing of AV valves 
• During ventricular systole 
– “dup” = closing of semilunar valves 
• During early diastole 
• You should NOT hear blood flow 
– You’ll hear it if flow is interrupted by blockage
(9) Starling’s Law 
• Starling’s Law of the Heart: 
– Degree of cardiac muscle extension before 
contraction 
– Increase Extension = Stronger Contraction 
– Degree of Extension  result of percent filling of 
ventricles

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Anatomy Unit 2: Cardiac Conduction Notes

  • 1. UNIT 2 NOTES: Cardiac Conduction System
  • 2. (1) Conduction System of Heart • Conduction System = Heart Beat & Pumping • Cardiac Contractions = Unconscious – Autonomic Nervous System  decrease or increase heart rate depending on circumstance
  • 3. (2) Depolarization Path of the Heart • Describes the path the nerve impulses travel to make the heart contract and pump blood. • The Path: 1. SA Node  AV Node 2. Atria Contract 3. (Delay)  AV Bundle 4. Ventricles Contract (Blood ejected out of arteries, leaving heart)
  • 4. (3) Nodes & Bundles • Sinoatrial Node (SA Node) – Right atrium – Starts each heart beat & sets rate – “Pacemaker” • Atrioventricular Node (AV Node) = Left atrium • AV Bundle = – Bundle Branches (along septum) – Purkinje Fibers (along entire muscular wall of heart)
  • 5.
  • 6. (4) Cardiac Cycle Phase 1- Diastole (Relaxation) – Blood passively filling atria. – All valves exiting ventricles closed. Phase 2-Systole (Contraction) – Ventricles contract and blood ejected out of heart. – All AV valves must be closed.
  • 7.
  • 8. (5) Diastole Details 1. Ventricles relax 2. Semilunar valves closed 3. Ventricular Presure < Atrial Pressure – AV valves open – Ventricles fill with blood 4. Atria contract and force blood remaining in chambers into ventricles
  • 9.
  • 10. (6) Systole Details 1. Pressure increases in ventricles - Filled with blood 1. AV valves close 3. Pressure in ventricles > Arteries leaving heart - Semilunar valves open - Blood rushes out of ventricles 4. Atria are relaxed and begin to fill back up
  • 11.
  • 12. (7) Cardiac Conduction Summary • Diastole: – Semilunar valves are closed. – AV valves are open. – Blood passively pouring into atria, and down into ventricles. – Only slight contraction of atria at the end to empty atria. – AV valves swing shut when ventricles full. • Systole: – AV valves are closed. – Ventricles contract and pump/eject blood out of heart. – Blood exits out Semilunar Valves (which must open). – Semilunar Valves close back up at end, and AV valves open back up.
  • 13. (8) Heart Beat • You hear something like “lub” “dup” – “lub” = closing of AV valves • During ventricular systole – “dup” = closing of semilunar valves • During early diastole • You should NOT hear blood flow – You’ll hear it if flow is interrupted by blockage
  • 14. (9) Starling’s Law • Starling’s Law of the Heart: – Degree of cardiac muscle extension before contraction – Increase Extension = Stronger Contraction – Degree of Extension  result of percent filling of ventricles