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
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,