生理学双语ppt课件循环.ppt

When A-V block occurs-that is, when the cardiac impulse fails to pass from the atria into the ventricles ,and fails to continue to beat at the normal rate of rhythm of the sinus node, a new pacemaker develops in the Purkinje system of the ventricles and drives the ventricular muscle at a new rate somewhere between 15 and 40 beats per minute. After sudden A-V bundle block, the Purkinje system does not begin to emit its intrinsic rhythmical impulses until 5 to 20 seconds later because, before the blockage, the Purkinje fibers had been over-driven by the rapid sinus impulses and, consequentl