Patient Education Outpatient Cardiac Rehab | Page 9

The Heart’s Electrical System The heart muscle is directed by an electrical system. An impulse is sent through the heart’s conduction system, causing the heart to beat. As the heart beats, blood is pumped to the body. Normal heart rate — 60 to 100 beats per minute. Tachycardia — heart is beating more than 100 beats per minute. Bradycardia — heart is beating less than 60 beats per minute. Keep in mind that certain medications can lower a person’s normal resting heart rate. An EKG shows the electrical activity of the heart on a tracing. Electrical energy of the heart follows a specific path. Pacemakers of the Heart SA (sino-atrial) node: 60 to 100 beats per minute. The SA node is in the right atrium and acts as the heart’s natural pacemaker. It sends an impulse that travels a path through the atria. AV (atrio-ventricular) node: delays or blocks impulses that are coming too fast. This allows time for the blood to SA node fill the ventricles. AV junction: 40 to 60 beats per minute. Purkinje fibers AV node Purkinje fibers: 20 to 40 beats per minute. AV junction 8