OMS Page No.

Date

d_eort oiH, ECG

x plainConduchoq Sskem
Te heant
A o r t o

P o nary
Speno
venaave-

PJmaToy

SA
rode AVnode

LA ojbn-aals

Tiuspid
yalue

Aorhe
Vatve

Pwoo
valR

Bundle RY
Covon cUy

Puun kiaji e
hbre

keiov yogene
Vena Cava
The heast posstsses the pro pexhy o Quth Orhythmio
wdhmeons t qenerates S Ocon elechaca impu see
and beaks 1ndep.endlenty of ne vOu.s or hormonal Cagho|
e i t is not reliant on externalmechanisnsO inhah
each Lheaytbeat. Houoeyer, it is Spplted iHo both Su
he hic porasympa.tehc neve kkre wcinc rease
decrea se respech vely the inhmnsi.cheartrac
 OMS Page No.
Date

Graba
auraber
o
esDorols
lo
heant
E p i e p h r i e

the
addihon
naline
Adve
n rones_lncluding-* 1n H
Cellsan
ho neuromSCdar

caus.
COOY-

imped Se
r o x i o e
Seecialised

of conaluct har muscle

S m a l L q r o p

inhate
and
Lonachono
h e a r E _ n a u s c A

Syseny
V
Lonacho
myocaradium

edk
Snchroniseol
canOUrulakns
B)
paping-
oina mao_
is
3 Heaxt
W i H a ve r a g e L w e g t

n
pencar
membrandus
Sat Called
in feale in a
enclosedl Pariekal
Heart is hoolayey
dividled inko_
dium wi ch is
viseroulaer
TS oall is ormed
Heotis mescderm in Origin OuRv
t)
three layers picardiuma
yocaroiun middle layer)
ndocarolium
uley iOst)
aoroliu m_ae pokthve in hunct ohee
VEndocar dium & pi
Ponsible for Conhat relaxa o
heort
as myocaydium 1S res
8 A system available in heavt okith is responSi ble by
Hhe rhy thime Con kac @rd condluc impdses l d d
include shruc hne
SAnode (Singa hial ede
(b) Abio ven hicJay nooeAV roolt)
C)Ankio ven hi ular hurdle (AVbunde)
[d)Par inipe be
a SA ode
)his Small m5s o
riqht arium nean specGalised cetls lies in val o
he SA operng ot Superioy vera cava
Cellsqeneraks ese eqlor
they ane elec hicall
unghable impJses because
O)Tis instabilih leds Hherm to
Sually b/p
6080imes cdscloredepolarise)
oa min heq la
 2OMS Page No.
Date

Jo The depolavi sat i sollouoed

b recoven repolobsaf
bd cdmost immediakly tkeir inshabili h leds theng ko distharqe
Caouo, Setha Hhe heavt yak
SA node discharqe bas kr than any oLer pont d haut
OY- normay Sers Hhe aeart rak krocsn as Pacemaker o
hev

em Firinq of SA mde higgersahial conhact

B)A Vnodei
s S mol1 mOsSok neuromusway hssue is Sihuard
valves
ncor in theLOall o amol Sephunm neanA: V
2lecical siqnalS
Normalli h e AV mde merel hransmi
hem ama loho Ven i fles bakes 0 s
There is_ delcu here elecbacal sLanal contract
Venhmcles _allous oma nhaish
paSsHaraug
O beoreVenmcle Stont
2pacemakev anct hakei Ovev
V AV rode olso ha_a
aprcblernola SA node ibsel
i s vale Haere is hon Hat
hrico rabe boever
iS Slocoe
s1ntrinsic
eor HO-6C beas/min
s e t by SArode
btundle/bunel le o His
CAV hom AV nod
hbres oriqinaks
Speciased
he mass n a hct
bund re Crosaeshe hbrous venhiloy
-e o
1)HV Pode t upper ed
k Venm (edes then
separa ama bundle branches
rieqhtk lelE_
divides Inho brk up no
Sephura. It nayOcardiunm the
bronches
VenhiCay
wrHsn
Punkinie +ibres
hne
called
hbres
bronches & Purkiniehbres anjm
V)he_Av bundle,
bundle Myocardium
Av zode ho.apex 6f
ayocardium

impu se om
flechiCol
cornra tt beqin S Hon Sucep
venhiJar
Lolhere ave o in he pmenan
Otoard
s p u m p i n q blood
upoands
LolnbeyCnd _Corta
 OMS Page No.
Date

he heay is inlluenced by ANS Ohiginating in the

Candiac Vascuwav Cenre in medula oolonqoro
o) he Vaqus ner ve tarasumpakHC ) 3uppes mainl, h.
SA Avoles ahial musele. Vagal shmwat lce
Yate at okich impulSe ale paoluted, v Hne vate
Ce oCarth@o
)EcGhe body suesk lwds conductelechic
Leso he elechi(al achv in neart (an be hecorda
o skin Surhace uSi elechodes_posih oned on imb
or he Chest
1 ECG Shoos Hne_Shreadof elechiosinal gererad
bSA od e o iE ovels Hnoualh_ahia e Avnode
ne veni ces

13 The
13enormal ECG hra cinq slaws hvetoaye
LConyenhon have been omed slth h-
u e P wave arises 6,R ST
ohen impulse hom SA rode
Y Qmo Lamaldepala.isat Sp
She 6 RS represent ven
AV od e Dvcuaa Av rapid Sprad o impJse hon
16 eLadye re bunolle Purkinje bes
presen He relaxat o venhi alo
us.cleEm lor V
vepolons.o)Ahial
churing venmuuloy abeolt
s6 iS no
Yepplavisat2cuv
orge 6RS Lonmp le Seen becaie
1 The CG
described above Onqirgky
is Called Sinus hopn SA no elek
Go-100 bpm. hythmhe rak o Sinus
vhy Hhra iS
18fastev hear rak is
HR Brady Cardo calleolTro chycardia ks loe
 DOMS Page No
Date

:2Wite noke on farasur pothehc divsof ANS

Autonomic er vo Sys Rm
ANS)

Sumpothe hc Foro
y.apalheh
thov o Columban Cran oS oCrod
Out lou OuLlous
iovolunkany payt o nervo SySern
he ans or

Conholsnvoluror bolyunct Altouah shmwlat

doesnt oCCuy voluntCrily he inouvidual Con soraehmes
be Cons ciaus Oh i eHLect e- inc in heir her a e
2 ANS 1S odvided Inhb huo hpe PNs
LSNS,
sihat osi
3SVS Ochvihy predomnates in Shess hd
pespond_Lhen Pxerhonk
xira
egwohe ooly ho
exe viSe 1s eotsreol dligest k reslorab
athviky is inCrea Sedl when
NS
bop ochvihes predominaks
Sumpatehc nervouy s Sh m
is branch
57he Parg reCuperae k
or body abilh
ANS responsi ble akRy_perien Caag pain k
sha
a balanceo gak
rehrun CrOnial Sacral rqonsc Cws
GPNS riqinaes hom huntt
11PNS reley e bool
hy inbihng gh
Cnerasy
ou
2 PNS_honi s ConS1S4onguon 6
DN S oJso
) DkeCNS
/ o ) PreaomlioN

Pos gona ONC hbr s

Preaoralo hes s Cell bod
lorqkha
PNSon suolly
O Jusl
Spinal corol
10 broJn pr O m e Craial
ei they brain br ie e
oa.Lah no 2,
tiThose
velI 2
nerve
ner
V
LCrona
outtlouo boun
idbr.n
nutle
OTuing hom
Qusng
 Date

s is uswolu Ve Short
6)Tostao mlioNe ne
ha) ik cell bo tLer in qonglion o moie cre
Gnd
a Orqon Spphieal

1 0ey