Cardiac Codex

Dual AV Nodal Pathway Physiology

A EP Anatomy & the Conduction System term on the RCES exam blueprint, defined for cath lab and EP clinicians.

The fast pathway (superior/anterior along the tendon of Todaro, rapid conduction, long refractory period) and slow pathway (inferior/posterior near the CS ostium, slower conduction, shorter refractory period) within the AV node, forming the anatomical substrate for AVNRT.

Domain: EP Anatomy & the Conduction System · Blueprint: RCES exam guide

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