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The 'sinoatrial node' (abbreviated 'SA node' or 'SAN', also called the 'sinus node') is the impulse generating (pacemaker) tissue located in the right atrium of the heart. It is a group of cells positioned on the wall of the right atrium, near the entrance of the superior vena cava. These cells are modified cardiac myocytes. They possess some contractile filaments, though they do not contract.

Contents

Role as a pacemaker

Innervation

Blood supply

See also

External link

Role as a pacemaker

Although all of the heart's cells possess the ability to generate the electrical impulses (or action potentials) that trigger cardiac contraction, the sinoatrial node is what normally initiates it, simply because it generates impulses slightly faster than the other areas with pacemaker potential. Because cardiac myocytes, like all muscle cells, have refractory periods following contraction during which additional contractions cannot be triggered, their pacemaker potential is overridden by the sinoatrial node.
Cells in the SA node will naturally discharge (create action potentials) at about 100 times/minute. Because the sinoatrial node is responsible for the rest of the heart's electrical activity, it is sometimes called the primary pacemaker.
If the SA node does not function, or the impulse generated in the SA node is blocked before it travels down the electrical conduction system, a group of cells further down the heart will become the heart's pacemaker. These cells form the atrioventricular node (AV node), which is an area between the atria and ventricles, within the atrial septum.

Innervation

The SA node is richly innervated by parasympathetic nervous system fibers (CN X: Vagus Nerve) and by sympathetic nervous system fibers (T1-4, Spinal Nerves). This makes the SA node susceptible to autonomic influences.

★ Stimulation of the vagus nerve (parasympathetic fibers) causes a ''decrease'' in the SA node rate (thereby ''decreasing'' the heart rate and force of contraction).

★ Stimulation via sympathetic fibers causes an ''increase'' in the SA node rate (thereby ''increasing'' the heart rate and force of contraction).

Blood supply

In the majority of patients, the SA node receives blood from the right coronary artery, meaning that a myocardial infarction occluding it will cause ischaemia in the SA node unless there is a sufficiently good anastomosis from the left coronary artery. If not, death of the affected cells will stop the SA node from triggering the heartbeat.

See also

★ Cardiology

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★ Cardiac pacemaker

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★ Electrical conduction system of the heart

External link

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★ - "The conduction system of the heart."

★ Diagram at gru.net

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★ http://www.healthyheart.nhs.uk/heart_works/heart03.shtml