The first electrical signal comes from the heart’s own natural pacemaker, the sinoatrial node, comprised of electrically active cells and located in the upper right heart chamber. This node sends a steady stream of electrical signals along a pathway through the heart’s upper chambers. The signals then travel to the electrical bridge – the atrioventricular node – between the upper and lower chambers and, finally, move to the lower chambers.
A problem at any point in the electrical pathway can wreak havoc with the regular beating of a heart. Luckily, an artificial pacemaker – a small, battery -operated device – can take over the role of the heart’s own electrical system, if necessary.
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