Cardiac pacemaker discharge at about 40-60 beats per minute, and are called the "secondary pacemaker". Further down the electrical conducting system of the heart is the Bundle of His. The left and right branches of this bundle, and the Purkinje fibres, will also produce a spontaneous action potential at a rate of 30-40 beats per minute, so if the SA and AV node both fail to function, these cells can become pacemakers. It is important to realize that these cells will be initiating action potentials and contraction at a much lower rate than the primary or secondary pacemaker cells. The SA node
Purkinje fibers the nucleus causes Purkinje fibers to appear, on a slide, lighter and larger than their neighbors, arranged along the longitudinal direction (parallel to the cardiac vector). They are often binucleated cells. Heart rate is governed by many influences from the autonomic nervous system. The Purkinje fibres do not have any known role in setting heart rate unless the SA node is compromised. They are influenced by electrical discharge from the sinoatrial node. During the ventricular contraction portion of the cardiac cycle, the Purkinje fibres carry the contraction impulse from both the left and right bundle branch to the myocardium of