The heart’s electrical system To pump blood throughout the body, the muscles of the heart must work together to squeeze the blood in the right direction, at the right time, and with the right force. Electrical impulses coordinate this activity. The electrical signal begins at the sino-atrial node, sometimes called the sinus, or SA, node. This is the heart’s pacemaker, and it sits at the top of the right atrium. The signal causes the atria to contract, pushing blood down into the ventricles. The electrical impulse then travels to an area of cells at the bottom of the right atrium, between the atria and ventricles, called the atrioventricular, or AV, node. These cells act as a gatekeeper. They coordinate the signal so that the atria and ventricles do not contract at the same time. There needs to be a slight delay. From here, the signal travels along fibers, called Purkinje fibers, within the ventricle walls. The fibers pass the impulse to the heart muscle, causing the ventricles to con
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