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HESI Anatomy & PhysiologyThe heart's own wiring

Cardiac ConductionHESI A2 cheat sheet

The heart's own wiring

9 key facts 3 practice questions Reviewed Oct 2026
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The Pathway

  • SA node — the pacemaker, in the right atrium
  • AV node — delays the signal so atria finish emptying
  • Bundle of His → bundle branches → Purkinje fibers

Rates

  • SA node ~60–100 beats per minute
  • AV node ~40–60 · Purkinje ~20–40 — backups, not leaders

The Ecg

  • P wave — atrial depolarization
  • QRS — ventricular depolarization
  • T wave — ventricular repolarization

Cardiac Output

  • CO = heart rate × stroke volume
Key takeaway

The heart's own wiring

Before you read

Test yourself first: 3 questions

Question 1 of 3

Cardiac muscle is unique because it is:

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