Cardiac pacemaker heart. There are 3 main stages in the generation of an action potential in a pacemaker cell. Since the stages are analogous to contraction of cardiac muscle cells, they have the same naming system. This can lead to some confusion. There is no phase 1 or 2, just phases 0, 3, and 4. The key to the rhythmic firing of pacemaker cells is that, unlike other neurons in the body, these cells will slowly depolarize by themselves and do not need any outside innervation from the autonomic nervous system to fire action potentials. As in all other cells, the resting
Cardiac cycle Cardiac cycle The cardiac cycle is the performance of the human heart from the beginning of one heartbeat to the beginning of the next. It consists of two periods: one during which the heart muscle relaxes and refills with blood, called diastole (die-ASS-toe-lee), followed by a period of robust contraction and pumping of blood, dubbed systole (SIS-toe-lee). After emptying, the heart immediately relaxes and expands to receive another influx of blood "returning from" the lungs and other systems of the body, before again contracting to "pump blood to" the lungs and those systems. A normally performing heart must be fully