Sinoatrial block Sinoatrial block A sinoatrial block is a disorder in the normal rhythm of the heart, known as a heart block, that is initiated in the sinoatrial node. The initial action impulse in a heart is usually formed in the sinoatrial node (SA node) and carried through the atria, down the internodal atrial pathways to the atrioventricular node (AV) node. In normal conduction, the impulse would travel across the bundle of His (AV bundle), down the bundle branches, and into the Purkinje fibers. This would depolarize the ventricles and cause them to contract. In an SA block, the electrical impulse is
Longitude of the ascending node Longitude of the ascending node The longitude of the ascending node (☊ or Ω) is one of the orbital elements used to specify the orbit of an object in space. It is the angle from a reference direction, called the "origin of longitude", to the direction of the ascending node, measured in a reference plane. The ascending node is the point where the orbit of the object passes through the plane of reference, as seen in the adjacent image. Commonly used reference planes and origins of longitude include: In the case of a binary star known only from visual observations,