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The pacemaker is the Sinoatrial node (SAN) which is responsible for the intrinsic
heartbeat. Impulses originate from the SAN which causes atria to contract
because the cardiac muscle transmits the impulse as it contracts. There is a
slight delay of the impulse at the Atrioventricular node (AVN) to ensure that atrial
contraction is complete before the ventricles contracts. The impulse passes to
the ventricles via specially conductive fibres called Purkinje fibres which are
grouped into the bundle of His in the septum and cause the rapid transmission of
the impulse to the apex of the heart. From here the impulse spreads through the
ventricles, causing them to contract from the apex upwards.
The cardiovascular centre in medulla modifies heartbeat. Chemoreceptors in the
aortic arch, carotid body and medulla detect [CO2], [O2] and pH. Impulses are
sent from these receptors to the cardiovascular centre in the medulla. Depending
on the input from these receptors either:
Impulses are sent along sympathetic nerves to stimulate the SAN and increase
cardiac output
OR
Impulses are sent along parasympathetic nerves (vagus nerves) to inhibit the
SAN and decrease cardiac output
Transport of Gases by blood
CO2 Transport:
O2 Transport
Lung
Muscle