Atrioventricular (AV) node

Nodus atrioventricularis

CardiovascularOrgansThorax

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What it is
A compact knot of conducting tissue in the lower interatrial septum, inside the triangle of Koch just above the septal leaflet of the tricuspid valve and near the coronary sinus opening.
Function
Delays the electrical impulse by ~0.1 s so the atria finish emptying before the ventricles contract; it is the only normal electrical path from atria to ventricles.
Size
About 5 × 3 × 1 mm.
Clinical note
The delay shows as the PR interval on an ECG; damage to it causes heart block, often treated with a pacemaker.