AssessmentsCardiac conduction velocity
Cardiac conduction velocity
Gap junctions in myocardial fibers allow for (fast/slow) conduction velocity.
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Content Reviewers:Rishi Desai, MD, MPH, Kyle Slinn, RN, BScN, MEd, Tanner Marshall, MS, Tanner Marshall, MS, Tanner Marshall, MS, Andrea Day
Cardiac conduction velocity is the velocity at which a depolarization wave moves through the myocardium, the muscular middle layer of the heart, and it’s measured in meters per second. The depolarization wave travels through the sinoatrial node, or SA node, through both atria, down the atrioventricular or AV node, through the Bundle of His and the Purkinje fibers, and finally to all of the parts of the ventricles, all in about 220 milliseconds, which is less than a quarter of a second!
If we zoom in on the myocardium, the depolarization waves move across neighboring cells. It moves from one cell to the next when ions like calcium and sodium slip through gap junctions and trigger voltage-gated sodium channels in that cell over to open up, allowing a rush of more sodium into the cell and causing an action potential to occur. That then results in more sodium and calcium leaking through to the next cell, triggering an action potential, which goes on to the next, and so on. Ultimately these cellular processes determines how fast or slow a depolarization wave will move across different types of tissues. More sodium channels and gap junctions speed up the depolarization wave, Fewer gap junctions and fewer sodium channels slow down the depolarization wave.