Bundle of His

Part of the AV junction, the bundle of His conducts the impulse through the fibrous plate that separates the atria and the ventricle; the bundle of His is also a pacemaker, firing at 40-60/minute.

The bundle of His serves as an electrical connection between the atria and the ventricles, traversing the fibrous plate that separates the atrial and ventricular electrical systems. The AV node and bundle of His form the AV junction (sometimes just called the junction).

Note that the AV junction, atria and SA node are the three main supraventricular (located above the ventricles) electrical sites. This is an exceptionally simple and important distinction. As you will soon discover, in order for an impulse to be transmitted down the bundle branches, the impulse must be supraventricular in origin.

The bundle of His carries the impulse from the AV node in the atria to the bundle branches in the ventricle. The bundle of His and the AV node, called the AV junction, can serve as a pacemaker at 40-60 beats/minute.

Figure 3.1 The Heart’s Electrical Pathway

A wave of depolarization normally begins with the SA node. This electrical wave from the SA node passes quickly across the atria, through the AV junction (the AV node and the bundle of His) then across the ventricles via the bundle branches and the Purkinje network.

1. Six Second ECG Guidebook (2012), T Barill, p. 46, 50, 56, 192

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Dynamic ECG rhythm interpretation
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Electrical Axis
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Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
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