ECG Analysis: Pacemakers of the Heart

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Questions and Answers

Which pacemaker of the heart is located at the junction of the superior vena cava (SVC) and the right atrium (RA)?

  • Sinoatrial Node (correct)
  • HIS-Purkinje Network
  • Bundle of HIS
  • Atrioventricular Node

If a patient's heart is being paced by the HIS-Purkinje Network, what would be the expected firing rate?

  • >100 bpm
  • 40-60 bpm
  • 60-100 bpm
  • <40 bpm (correct)

What is the approximate firing rate of the Atrioventricular Node?

  • 60-100 bpm
  • 40-60 bpm (correct)
  • More than 100 bpm
  • Less than 40 bpm

Which pacemaker of the heart is located at the RA at the level of the septal leaflet and tricuspid valve?

<p>Atrioventricular Node (C)</p> Signup and view all the answers

Which part of the heart's pacemaking system features two major bundle branches?

<p>HIS-Purkinje Network (A)</p> Signup and view all the answers

What is the approximate sympathetic innervation firing rate of the Sinoatrial Node?

<p>100 bpm (A)</p> Signup and view all the answers

Which of the following pacemakers has an atrial kick?

<p>Atrioventricular Node (B)</p> Signup and view all the answers

The firing rate of the Atrioventricular Node is affected by sympathetic and parasympathetic innervation. What is the firing rate of the sympathetic nervous system?

<blockquote> <p>60 bpm (A)</p> </blockquote> Signup and view all the answers

Which pacemaker of the heart demonstrates no parasympathetic innervation?

<p>Ventricular conduction tissue (D)</p> Signup and view all the answers

What part of the heart is 'Bachman's Bundle' associated with, according to the material?

<p>Sinoatrial Node (A)</p> Signup and view all the answers

Flashcards

Location of SA Node

The sinoatrial (SA) node is located at the junction of the superior vena cava (SVC) and right atrium (RA).

Location of AV Node

The atrioventricular (AV) node is located at the right atrium at the level of septal leaflet and tricuspid valve.

Location of the His-Purkinje Network

The His-Purkinje network is located in the ventricular conductions.

Firing Rate of SA Node

The SA node typically fires at a rate of 60-100 bpm.

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Firing Rate of AV Node

The AV node typically fires at a rate of 40-60 bpm.

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Firing Rate of His-Purkinje Network

The His-Purkinje network typically fires at a rate of less than 40 bpm.

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ANS Innervation of SA Node

The SA node receives sympathetic innervation at 100 bpm and parasympathetic innervation at less than 60 bpm.

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ANS Innervation of AV Node

The AV node receives sympathetic innervation at >60 bpm and parasympathetic innervation at <40 bpm.

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ANS Innervation of His-Purkinje Network

The His-Purkinje network receives sympathetic innervation at >40 bpm.

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Misc Info: SA Node

The Bachmann's Bundle is associated with the SA node.

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Study Notes

  • The material covers ECG Analysis Part 2
  • An expert consultant, Richard P. Wilson, DNAP, CRNA, FAANA, is attributed to the context

Pacemakers of Heart

  • Sinoatrial Node location is at the Junction of the SVC and RA
  • Atrioventricular Node location is at the RA level of the septal leaflet and tricuspid valve
  • HIS-Purkinje Network location is in the Ventricular conduction tissue
  • Sinoatrial Node firing rate is 60-100 bpm
  • Atrioventricular Node firing rate is 40-60 bpm
  • HIS-Purkinje Network firing rate is less than 40 bpm
  • ANS Innervation for Sinoatrial Node: Sympathetic = 100 bpm, Parasympathetic = <60 bpm
  • ANS Innervation for Atrioventricular Node: Sympathetic = >60 bpm, Parasympathetic = <40 bpm
  • ANS Innervation for HIS-Purkinje Network: Sympathetic = >40 bpm, Parasympathetic = N/A
  • Additional info for Sinoatrial Node: Bachman's Bundle
  • Additional info for Atrioventricular Node: Bundle of HIS, Atrial kick
  • Additional info for HIS-Purkinje Network: 2 major bundle branches

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