Anatomy & Physiology › Section Q · The heart › Topic Q.2

Cardiac muscle and electrical activity

The heart starts every beat itself, without a signal from the brain. A small network of specialised muscle cells sets the rhythm and times the chambers, and an ECG lets us watch that electrical activity from the skin.

In this topic

  • Muscle that excites itself
  • The conduction pathway
  • Timing: the AV delay
  • Pacemaker potentials
  • Backup pacemakers
  • The contractile cell action potential
  • Why the heart cannot tetanise
  • Reading the ECG
  • Worked example: heart rate from an ECG
  • Worked example: a strip with too many P waves
  • Common mistakes to avoid
  • Key takeaways

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