The heart has four chambers. The two upper chambers are called atria
(the right atrium and the left atrium), and the two lower chambers are called
Normally, the heartbeat starts in the right atrium in a group of
special heart cells called the sinoatrial (or sinus) node. These cells act as a
pacemaker for the heart.
The heart's pacemaker sends out an electrical signal (impulse) that
spreads throughout the heart along electrical pathways. These pathways transmit
the signal from the upper to the lower chambers of the heart, which causes the
heart muscle to contract. Regular, rhythmic electrical signals keep the heart
pumping blood to the lungs and the body.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Specialist Medical ReviewerRakesh K. Pai, MD, FACC - Cardiology, Electrophysiology