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
Lunar node a location by averaging the height of the lowest tide recorded at that location each day during a 19-year recording period, known as the National Tidal Datum Epoch. The 19-year recording period is the nearest full-year count to the 18.6-year cycle of the lunar nodes. Lunar node A lunar node is either of the two orbital nodes of the Moon, that is, the two points at which the orbit of the Moon intersects the ecliptic. The "ascending" (or "north") node is where the Moon moves into the northern ecliptic hemisphere, while the "descending" (or "south") node is where the Moon