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
Isovolumetric contraction Isovolumetric contraction In cardiac physiology, isovolumetric contraction is an event occurring in early systole during which the ventricles contract with no corresponding volume change (isovolumetrically). This short-lasting portion of the cardiac cycle takes place while all heart valves are closed. In a healthy young adult, blood enters the atria and flows to the ventricles via the opened atrioventricular valves (tricuspid and mitral valves). Atrial contraction rapidly follows, actively pumping about 20% of the returning blood. As diastole ends, the ventricles begin depolarizing and, while ventricular pressure starts to rise owing to contraction, the atrioventricular valves close in order to prevent