7B 5

Cardiac Muscle and Control of the Heartbeat

Describe the myogenic heartbeat and how an ECG recording relates to that electrical sequence.

YOUR SPECIFICATION

What you need to know

  • 7.12(i)Cardiac muscle is .
  • 7.12(ii)The heartbeat is coordinated by the , , and .
  • 7.12(iii)Electrocardiograms can help diagnose abnormal heart rhythms.
Pearson specification · Issue 2, p. 35

Use the spelling Purkyne. Nerves and adrenaline change the rate; they are the next control lesson, not the origin of each beat. An ECG in this course is not a diagnosis you make of a real person.

By the end, you should be able to…

  • Define myogenic and name the nodes in order.
  • Explain the delay at the atrioventricular node.
  • Match a normal P wave, QRS complex and T wave to , without diagnosing a patient.
SPECIFICATION-ALIGNED LEARNING

Build your understanding

The beat starts in the muscle

Cardiac muscle is . The impulse that starts each heartbeat is generated in the muscle itself, not by a nerve from the brain. The , the SAN, in the wall of the right , sets the pace. The impulse spreads through the atrial muscle, so the atria contract together from the top.

If the nerves to the heart are cut, the heart can still beat. The rate would no longer be adjusted to exercise in the normal way. Myogenic means the origin of the beat, not “nothing can influence it”.

Delay, then the apex

The impulse reaches the , the AVN. There is a short delay. That delay lets the atria finish emptying into the before the ventricles contract. The impulse then travels down the in the and out through the in the ventricle walls.

Because the Purkyne fibres carry the impulse to the apex and then through the walls, ventricular contraction squeezes blood upward into the . A wave that started at the top of the ventricles and travelled down would be less effective. Spell the fibres Purkyne in this specification.

What an ECG shows

An electrocardiogram records electrical activity at the skin, not the sound of and not the volume of blood. In a normal trace the P wave is atrial , the QRS complex is ventricular depolarisation, and the T wave is ventricular . The gap after P matches the AVN delay.

A trace can show a rhythm that is very fast, very slow, or irregular, or electrical activity that is uncoordinated. That information can help a clinician diagnose an abnormal rhythm. It does not, in this course, tell you the cause, the treatment, or what a particular patient’s trace “must” mean. Do not diagnose yourself or anyone else from a textbook sketch.

Heart schematic labelled 1 sinoatrial node, 2 atrioventricular node with a delay, 3 bundle of His, and 4 Purkyne fibres spreading to the ventricle walls.
Order of conduction, not an ECG trace and not a clinical image. Open full-size figure
Normal electrical sequence
EventWhereWhat you should say
SAN firesRight atriumMyogenic origin
AVN delayBetween atria and ventriclesAtria empty first
Bundle of His and Purkyne fibresSeptum and ventricle wallsVentricles contract from the apex
P, QRS, TECG recordingAtrial depolarisation, ventricular depolarisation, ventricular repolarisation
EXAM TIPS & ADVICE

Make your reasoning visible

Order is the question

, atrial muscle, delay, , , ventricular muscle.

ECG is electrical

Do not describe the QRS complex as “the emptying”.

Avoid this misconception

The claim: The brain starts every heartbeat, and the AVN is the pacemaker.

The correction: The SAN is the pacemaker and the muscle is . The AVN delays the impulse. Nerves only modify the rate.

BEFORE YOU START · CONTROL OF THE HEARTBEAT

Who tells your heart to beat?

Not your brain. Heart muscle is myogenic: each beat starts in a small patch of the heart itself, the sinoatrial node (SAN). From there an electrical wave spreads in a set order, so the atria contract first and the ventricles contract a moment later, squeezing blood up and out.

What the model shows

The heart with its conduction pathway, a wave of electrical activity spreading through the muscle, and a schematic ECG that records that activity at the skin.

What to look for

The order of the steps, the pause at the atrioventricular node (AVN), and which part of the ECG matches which step.

What it tells us

The SAN sets the pace, the AVN delay lets the atria empty first, and the Purkyne fibres make the ventricles contract from the bottom up. P, QRS and T on an ECG match atrial depolarisation, ventricular depolarisation and ventricular repolarisation.

Be careful what you claim

The ECG is a drawn sketch, not a real recording. The "No P waves" trace is fictional. Never use a textbook ECG to diagnose yourself or anyone else.

Try it in the model: press Play, then use Jump to: AVN delay and look at which parts of the heart are shaded yellow.

SPECIFICATION 7.12 · MODEL

Control of the heartbeat and the ECG

Follow the electrical wave from the sinoatrial node to the Purkyne fibres, and match each step to the P wave, QRS complex and T wave.

What you see
  • Left: the heart with its conduction pathway. The SAN is in the right atrium wall, the AVN between the atria and ventricles, the bundle of His in the septum and the Purkyne fibres in the ventricle walls.
  • Yellow shading shows muscle that is depolarised. It spreads over the atria from the SAN, then over the ventricles from the apex upward.
  • Right: a schematic ECG of the last 3 seconds, and the steps of one beat with the current step highlighted.
How to use it
  • Play in slow motion or jump to a step. Change the AVN delay. Switch to the fictional "No P waves" trace.
What it shows
  • The heartbeat is myogenic: it starts at the SAN without a nerve impulse.
  • The AVN delay lets the atria empty before the ventricles contract, and the ventricles contract from the apex upward.
  • P = atrial depolarisation, QRS = ventricular depolarisation, T = ventricular repolarisation.
Limits of the model
  • The ECG is a drawn, schematic trace, not a recording from a person. Its sizes and timings are typical, not exact.
  • The "No P waves" trace is fictional and for learning only. It is not a diagnosis, and you should not use it to judge anyone's heart.
  • Nerves and adrenaline, which change the rate, are left out here; they are in 7B 7.

Guided tour · step 1 of 8

What to do
  1. In Playback, just below these steps, press Play and watch one beat.
  2. Follow the yellow wave on the heart and the highlighted row in the list.
Why

The beat starts in the heart muscle itself, at the sinoatrial node (SAN). Cardiac muscle is myogenic.

Playback

Speed
Jump to
0.16 s
Trace
NowWave spreads over the atria
Heart rate75 per minute
AV valvesopen

Questions

Which order does the impulse take?
Why is there a delay at the AVN?
What does the P wave of a normal ECG show?
A fictional trace has regular QRS complexes but no P waves. What part of the normal sequence is missing?

Final check: put it in order

What to do

  1. Reorder the cards below: drag a card (on a touch screen, drag its number), tap a card then tap where it goes, or use the ↑ and ↓ arrows at its right.
  2. Press Check under the cards to mark each one green (right place) or red; the count shows how many are right.
  3. Stuck? Hint first outlines the first wrong place, then gives a clue, then places that step for you.
  4. Shuffle mixes the cards again; Start again returns them to the starting order. Keyboard: Space picks up, arrow keys move, Space drops.

Put one heartbeat in order, from the pacemaker to the ventricles contracting.

0 of 6 in the right place

A layer of non-conducting tissue between the atria and ventricles is why the impulse must pass through the AVN. Nerves from the brain change the rate but do not start each beat.

RETRIEVE · APPLY · CHECK

Check your understanding

Try each question before opening the suggested answer.

Check your understanding (continued)

  1. Practice question

    Retrieval and explanation · suggested answer

    What does myogenic mean for cardiac muscle?

    Show suggested answer

    The heartbeat is started by the heart muscle itself, at the sinoatrial node, not by a nerve impulse from the brain.

  2. Practice question

    Retrieval and explanation · suggested answer

    Why is there a delay at the AVN?

    Show suggested answer

    So the atria can finish contracting and empty blood into the ventricles before the ventricles contract.

  3. Practice question

    Retrieval and explanation · suggested answer

    Name the fibres that spread the impulse through the ventricle walls. Use the specification spelling.

    Show suggested answer

    Purkyne fibres.

  4. Practice question

    Retrieval and explanation · suggested answer

    What does the P wave of a normal ECG represent?

    Show suggested answer

    Depolarisation of the atria.

STRETCH QUESTION

Take the idea further

Apply the same specification knowledge to an unfamiliar problem. Any extra assumptions are supplied in the question.

Stretch question

A fictional trace shows QRS complexes that are regular but no P waves. Assume the ventricles are being driven from the AVN region. What part of the normal sequence is missing, and why is “the person has a named disease” not a safe conclusion?

Show a hint

P is atrial. A sketch is not a clinic.

Explore the reasoning

Atrial depolarisation from the SAN is not showing, so the normal SAN-to-atrium step is missing or not conducting in this fictional trace. An ECG can aid diagnosis of an abnormal rhythm. Naming a disease, a cause, or a treatment needs clinical context this question does not give.

RECALL

Recall this lesson

Lesson recall questions

5 of 16 recall questions for 7.120 of 5 rated0 secure

Question 1 of 5: State what is meant by cardiac muscle being myogenic.

017.12Keyword

Myogenic heart and Purkyne pathway

Practice question

Retrieval and explanation · suggested answer

State what is meant by cardiac muscle being myogenic.

Try this from memory first.

Practise more of these specification points

Beyond the classroom

Put your biology to work

Explore where these ideas appear in the world. Enrichment, not extra required recall.

MedicinePop Culture

An ECG records rhythm, it does not finish the medicine

7B · Cardiac Muscle and Control of the HeartbeatThe NHS describes an electrocardiogram as a test that records the electrical activity of the heart, including rate and rhythm, and that can be used when an abnormal…Specification 7.12(i)Read & use the scienceClose article

Why this matters

The NHS describes an electrocardiogram as a test that records the electrical activity of the heart, including rate and rhythm, and that can be used when an abnormal rhythm is suspected. That matches 7.12(iii). It is not an invitation to interpret a real trace, and it does not replace the SAN–AVN order you still have to write. 7.12: myogenic conduction through SAN, AVN, bundle of His and Purkyne fibres; an ECG can help identify an abnormal rhythm.

Back to the specification

Pearson Edexcel IAL Biology · Issue 2, February 2021 · Unit 5, pp. 35–38. The application extends beyond required recall.

  • 7.12(i) Myogenic nature of cardiac muscle.
Read the Pearson specification

Use the science

Why is a faster heart rate on an ECG not automatically a damaged AVN?

Explore a possible response

Rate can change because the SAN is speeding up under nervous or hormonal control, which is normal in activity. An AVN problem is about delay or block between atria and ventricles. Speed alone does not locate the fault.

Explore the source

CareersMedicine

A pacemaker assists a conduction system

7B · Cardiac Muscle and Control of the HeartbeatThe NHLBI explains that an implanted pacemaker can send low-energy electrical pulses when a heartbeat is too slow or a signal is blocked. It does not create an…Specification 7.12(ii)Read & use the scienceClose article

Why this matters

The NHLBI explains that an implanted pacemaker can send low-energy electrical pulses when a heartbeat is too slow or a signal is blocked. It does not create an entirely new biological conduction pathway. The ordinary sequence still begins at the sinoatrial node, passes to the atrioventricular node, and reaches the ventricles through the bundle of His and Purkyne fibres. Clinicians use an ECG and other evidence to decide what kind of rhythm problem exists before choosing a device. The device is an application of electrical coordination, not a substitute for describing the myogenic origin of a normal beat.

Back to the specification

Pearson Edexcel IAL Biology · Issue 2, February 2021 · Unit 5, pp. 35–38. The application extends beyond required recall.

  • 7.12(ii) Electrical coordination through the cardiac conduction pathway.
Read the Pearson specification

Use the science

Why might a signal block between atria and ventricles change their timing even if the sinoatrial node still fires?

Explore a possible response

The atrial impulse begins normally but does not reach the ventricles through the usual conduction route at the right time. Their contractions may become delayed or uncoordinated.

Explore the source

Browse all Unit 5 connections →
END OF THE LESSON

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