起搏适应证与发展2015.ppt

Student Notes学员注释 Initiation of the cardiac cycle normally begins with initiation of the impulse at the SA (sinoatrial) node. 正常心脏周期由窦房结脉冲开始启动 Instructor Notes教员注释 Student Notes学员注释 After the SA node fires, the resulting depolarization wave passes through the right and left atria, stimulating atrial contraction and producing the P-wave on the surface ECG. 窦房结发放脉冲之后，相应的除极波通过右房和左房，刺激心房收缩，在体表心电图上产生P波 Instructor Notes教员注释 Student Notes学员注释 Following activation of the atria, the impulse proceeds to the atrioventricular (AV) node, which is the only normal conduction pathway between the atria an