TY - CHAP M1 - Book, Section TI - Arrhythmia A1 - Teply, Robyn A1 - Packard, Kathleen A2 - Sutton, S. Scott Y1 - 2020 N1 - T2 - McGraw Hill’s NAPLEX® Review Guide, 4e AB - Cardiac arrhythmia is an abnormality of impulse generation, impulse propagation, or a combination of both. Normal conduction and cardiac rhythm are initiated by the sinoatrial (SA) node. The electrical current then travels through the conduction network and enters the ventricle via the atrioventricular (AV) node and bundle of His. From the bundle of His, the electrical activity moves into the branch-like system called the Purkinje system. As the current flows through the myocardium, the excitation coordinates the contraction of the atria and ventricles. After stimulation, each group of cells experiences a refractory period in which it cannot be excited. As the electrical current meets refractory tissue, the stimulation ceases allowing for the process to begin again. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1179733207 ER -