Sinoatrial (SA) node

Nodus sinuatrialis

CardiovascularOrgansThorax

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What it is
A small crescent of specialised pacemaker cells in the wall of the right atrium where the superior vena cava enters, at the top of the crista terminalis.
Function
Fires spontaneously 60–100 times a minute, starting every normal heartbeat (sinus rhythm).
Size
About 10–20 mm long, 3–5 mm wide, ~1 mm deep under the epicardium.
Clinical note
Supplied by the SA-nodal artery (from the right coronary artery in ~60% of people); its rate is sped up by sympathetic nerves and slowed by the vagus.