Abstract
The impulse for the activation of the heart is generated normally in the sinoatrial node (SA node). This structure covers an area of only a few square millimeters. The cells have an irregular contour and are small (diameter less than 10 μ). Furthermore, they contain sparse myofilaments which are often not well organized. The intercellular junctions are different from normal myocardium since there are no intercalated discs, no real nexus, and only rare membrane junctions. The nodal cells often form clusters divided by connective tissue. One of the characteristic features of the SA nodal structure is the abundant innervation by autonomic fibers [15]. Since West [28] made the first impalement with a microelectrode in a fiber of a mammalian SA node, many researchers have studied the electrophysiologic characteristics of the node. Most of these studies were done with the rabbit heart. Although only little information about the human SA node is available, it seems reasonable to assume that there is no principal difference between man and rabbit in respect to the electrophysiology of the SA node.
Keywords
Sinoatrial Node Entrance Block Atrial Premature Beat Impulse Formation Atrial FiberPreview
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References
- 1.Allessie, M. A., Bonke, F. I. M., Schopman, F. J. G.: Circus movement in rabbit atrial muscle as a mechanism of tachycardia. Circulat. Res., 33, 54–62 (1973)PubMedGoogle Scholar
- 2.Allessie, M. A., Bonke, F. I. M., Schopman, F. J. G., Lammers, W. J. E. P.: An in vitro model of circulating excitation in the absence of an anatomic obstacle. This volume, p. 175–184Google Scholar
- 3.Bonke, F. I. M.: Electrotonic spread in the sinoatrial node of the rabbit heart. Pflügers Arch. ges. Physiol. 339, 17–23 (1973)CrossRefGoogle Scholar
- 4.Bonke, F. I. M., Allessie, M. A., Bouman, L. N.: Reentry in the atrium. Bull. Schweiz. Akad. med. Wiss. 31, 33–44 (1974)Google Scholar
- 5.Bonke, F. I. M., Bouman, L. N., van Rijn, H. E.: Change of cardiac rhythm in the rabbit after an atrial premature beat. Circulat. Res. 24, 533–544 (1969)PubMedGoogle Scholar
- 6.Bonke, F. I. M., Bouman, L. N., Schopman, F. J. G.: Effect of an early atrial premature beat on activity of the sionatrial node and atrial rhythm in the rabbit. Circulat. Res. 29, 704–715 (1971)PubMedGoogle Scholar
- 7.Bouman, L. N., Gerlings, E. D., Biersteker, P. A., Bonke, F. I. M.: Pacemaker shift in the sinoatrial node during vagal stimulation. Pflügers Arch. ges. Physiol. 302, 255–267 (1968)CrossRefGoogle Scholar
- 8.Bouman, L. N., van der Westen, H. M.: Pacemaker shift in the sino atrial node induced by a change of temperature. Pflügers Arch. ges. Physiol. 318, 262 (1970)Google Scholar
- 9.Brooks, C. McC., Lu, H. H.: The Sino-Atrial Pacemaker of the Heart. Springfield Ill.: Charles C. Thomas, 1972Google Scholar
- 10.Brown, H. F., Noble, S. J.: Membrane currents underlying delayed rectification and pacemaker activity in frog atrial muscle. J. Physiol. 204, 717–736 (1969)PubMedGoogle Scholar
- 11.Goldberger, B. N., Damato, A. N.: Sino-atrial-node entrance block. Circulation 44, 789–802(1971)Google Scholar
- 12.Han, J., Malozzi, A. M., Moe, G. K.: Sino-atrial reciprocation in the isolated rabbit heart. Circulat. Res. 22, 355–362 (1968)PubMedGoogle Scholar
- 13.Irisawa, H.: Electrical activity of rabbit sino-atrial node. In: Symposium on the Electrical Field of the Heart. (Rylant, P., ed.), Brussels: Presses Académiques Européennes 1972Google Scholar
- 14.Johnson, E. A., Lieberman, M.: Heart: excitation and contraction. Ann. Rev. Physiol. 33, 479–532(1971)CrossRefGoogle Scholar
- 15.Kawamura, K., James, T. N.: Comparative ultrastructure of cellular junctions in working myocardium and the conduction system under normal and pathologic conditions. J. Mol. Cell. Cardiol. 3, 31–60 (1971)PubMedCrossRefGoogle Scholar
- 16.Kreitner, D.: Evidence for the existence of a rapid sodium channel in the membrane of rabbit sino-atrial cells. J. Mol. Cell. Cardiol. 7, 655–662 (1975)PubMedCrossRefGoogle Scholar
- 17.Lange, G.: Action of driving stimuli from intrinsic and extrinsic sources on in situ cardiac pacemaker tissues. Cirulat. Res. 17, 449–459 (1965)Google Scholar
- 18.Lu, H. H., Brooks, C. McC: Intranodal shifts of pacemaker action. Circulation 40, 111–136(1969)Google Scholar
- 19.Lu, H. H., Lange, G., Brooks, C. McC.: Factors controlling pacemaker action in cells of the sino-atrial node. Circulat. Res. 17, 460–471 (1965)PubMedGoogle Scholar
- 20.Mazel, P., Holland, W. C.: Acetylcholine and electrolyte metabolism in the various chambers of frog and turtle heart. Circulat. Res. 6, 684–688 (1958)PubMedGoogle Scholar
- 21.Miller, H. C., Strauss, H. C.: Measurement of sinoatrial conduction time by premature atrial stimulation in the rabbit. Circulat. Res. 35, 935–947 (1974)PubMedGoogle Scholar
- 22.Pasmooy, J. H., van Enst, G. C., Bouman, L. N., Allessie, M. A., Bonke, F. I. M.: The effect of heart rate on the membrane responsiveness of rabbit atrial muscle. Pflügers Arch. ges. Physiol. in press (1976)Google Scholar
- 23.Seifen, E., Schaer, H., Marshall, J. M.: Effect of calcium on the membrane potentials of single pacemaker fibers in isolated rabbit atria. Nature (Lond.) 202, 1223–1224 (1964)CrossRefGoogle Scholar
- 24.Strauss, H. C., Bigger, J. T.: Electrophysiological properties of the rabbit sinoatrial perinodal fiber. Circulat. Res. 31, 490–506 (1972)PubMedGoogle Scholar
- 25.Strauss, H. C., Saroff, A. L., Bigger, J. T., Giardina, E. G.: Premature atrial stimulation as a key to the understanding of sino-atrial conduction in man. Circulation 47, 86–93 (1973)PubMedGoogle Scholar
- 26.Toda, N., Shimamoto, K.: The influence of sympathetic stimulation on transmembrane potentials in the SA node. J. Pharmacol. exp. Ther. 159, 298–305 (1968)PubMedGoogle Scholar
- 27.Toda, N., West, T. C.: Interactions of K, Na and vagal stimulation in the SA node of the rabbit. Amer. J. Physiol. 212, 424–430 (1967)PubMedGoogle Scholar
- 28.West, T. C.: Ultramicroelectrode recording from the cardiac pacemaker. J. Pharmacol, exp. Ther. 115, 283–290 (1955)Google Scholar