Cardiac physiology syncytium, the sinoatrial node, the atrioventricular node, the bundle of His (atrioventricular bundle), the bundle branches, and the Purkinje cells. Normal sinus rhythm is established by the sinoatrial (SA) node, the heart's pacemaker. The SA node is a specialized grouping of cardiomyocytes in the upper and back walls of the right atrium very close to the opening of the superior vena cava. The SA node has the highest rate of depolarization. This impulse spreads from its initiation in the SA node throughout the atria through specialized internodal pathways, to the atrial myocardial contractile cells and the atrioventricular node. The internodal
Orbital node terms αναβιβάζων and καταβιβάζων were also used for the ascending and descending nodes, giving rise to the English words "anabibazon" and "catabibazon". For the orbit of the Moon around Earth, the plane is taken to be the ecliptic, not the equatorial plane. The gravitational pull of the Sun upon the Moon causes its nodes to gradually precess westward, completing a cycle in approximately 18.6 years. Orbital node An orbital node is either of the two points where an orbit intersects a plane of reference to which it is inclined. A non-inclined orbit, which is contained in the reference plane, has