Cardiac pacemaker Cardiac pacemaker The contraction of cardiac muscle (heart muscle) in all animals is initiated by electrical impulses known as action potentials. The rate at which these impulses fire controls the rate of cardiac contraction, that is, the heart rate. The cells that create these rhythmic impulses, setting the pace for blood pumping, are called pacemaker cells, and they directly control the heart rate. They make up the cardiac pacemaker, that is, the natural pacemaker of the heart. In most humans, the concentration of pacemaker cells in the sinoatrial (SA) node is the natural pacemaker, and the resultant rhythm is a
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