Sinoatrial nodal artery posterior aspect of the interatrial septum. The origin of the sinoatrial node artery is not related to coronary artery dominance, which means the side (right or left) that provides the circulation to the back of the heart. In contrast, the atrioventricular nodal branch, that is the artery that brings blood to the atrioventricular node, depends on coronary artery dominance. The sinoatrial node surrounds the sinoatrial artery, which can run centrally (in 70% of individuals) or off center within the node. A left S-shaped sinoatrial artery, originating from the proximal left circumflex or LCx artery, has been described as a common
Sinoatrial node known as a spontaneous Ca spark. This increase in calcium within the cell then activates a sodium-calcium exchanger (NCX), which removes one Ca from the cell, and exchanges it for 3 Na into the cell (therefore removing a charge of +2 from the cell, but allowing a charge of +3 to enter the cell) therefore in-creasing the membrane potential. The calcium is later pumped back into the cell via calcium channels located on the cell membrane and SR membrane. The increase in membrane potential produced by these mechanisms, activates T-type calcium channels and then L-type calcium channels (which open very