Atrioventricular (AV) node

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1. Sinoatrial node

2. Atrioventricular node

Atrioventricular (AV) node (the node Aschoff-Tawara) is located in the right rear-bottom part of the interatrial septum.

Its dimensions are 0.5-0.6 cm in length, 0.2-0.3 cm in width and not more than 0.1 cm in thickness. In most cases, it gets the blood supply from branch of the right coronary artery. AV node has an extremely low speed of impulse conducting, on average, 0.05 m / s, which determines its basic functions.

These functions are:

  1. physiological delay of transmission of excitation from the atria to the ventricles, which ensures synchronization of their activities (atrial contraction precedes the ventricular contractions);
  2. protection of ventricles from possible too frequent impulses from the atria; AV node is a kind of "barrier", "filter" on the way between the atria and ventricles;
  3. protection of ventricles from possible too early atrial impulses, which might catch the ventricles in a vulnerable phase;
  4. protection of ventricles from possible long-term asystole; when an atrial impulse is too late, AV node becomes the generator of the ventricular rhythm.

AV node has a complex morphological and electrophysiological structure and combining with paranodal fabrics and initial part of the bundle of His forms the so-called atrioventricular connection. The innervation of the AV node is provided by sympathetic and parasympathetic nerves.[1]