Connective Tissue Structures, Heart

Connective tissue in the heart provides structure, strength and protection to ensure efficient and effective electrical conduction and mechanical function.

Connective tissue in the heart provides structure, strength and protection to ensure efficient and effective function. Connective tissue protects necessary electrical structures (SA and AV nodes are shielded within a honeycombed matrix of connective tissue).

Connective tissue – inert to electrical conduction – serves to inhibit dysfunctional electrical conduction i.e. direct connection between the atrial and ventricular myocardium would significantly reduce the effectiveness of the heart as it would contract almost as one chamber, lose the advantage of atrial kick and lose the speed and order of the Purkinje network. Contraction speed would be slowed across the ventricles and the direction of contraction would be reversed from the bottom up (needed as the aorta and pulmonary arteries are above the ventricles) to top down.

Instead, a layer of connective tissue between the atria and ventricles allows only the AV node and bundle of His to serve as a sole connection, making full use of the advantages of the bundle branches and the Purkinje network.

Connective tissue is organized in a complex array of differing functioning structures including the endomysium (surround muscle), perimysium (surround groups of special functioning cells) and endomysium (surrounds individual cells).

Figure 3.3 Connective Tissue Structures and Electrical Conduction

Figure 3.3 depicts the structures that form the cardiac skeleton, the septum and the plate of connective tissue that separates the atria from the ventricles. Connective tissue does not conduct electrical impulses, serving rather as an electrical insulator or barrier. To connect the left and right atria electrically, Bachman’s bundle burrows through the atrial septum. The bundle of His performs a similar function, connecting the atria electrically with the ventricles. Note that without the bundle of His, supraventricular impulses would not be transmitted through to the ventricles. The ventricles would then be dependent on their own slow intrinsic pacemakers.

Our new 12 Lead ECG SIM Deck is active!

We're planning a scheduled maintenance period.

Our website will be unavailable on Thu, May 28, 2026 starting at 9:30 pm (Pacific Time). We anticipate this will take about 1 hour.
Thank you for your understanding.

The SkillStat Team

×
  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
Prerequisite

None

None

Any Six Second ECG Course

12 Lead ECG & ACS

Time Frame

8 hours (1-day Course or 2 evenings)

20 hours 3-day Course

8 hours 1-day Course

8 hours 1-day Course

Tuition

$275

$675

$275

$275

Completion Card • • • •
Exam and Certification •
SkillStat 2U-able • • • •
Reference materials included • • • •
Dynamic ECG rhythm interpretation • • ○ ○
Static ECG rhythm interpretation • • ○ ○
Clinical Impact Mapping • • • ○
Acute Coronary Syndromes Overview • • ○
Acute Coronary Syndromes In-Depth • ○
ST Segment & T Wave Differential • ○
Identify Bundle Branch Blocks • ○
15 | 18 Lead View Mapping • •
Electrical Axis • •
R Wave Progression •
Left Bundle Branch Blocks with ACS •
Atypical Findings •
Acute Non-Ischemic Disease Conditions •
Special Cases •

•-included;     ○-reviewed
×