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The waves of excitation would not be carried to the bottom of the heart first and it would spread over the ventricular walls from top to bottom causing the ventricualr muscle to contract in a way that it pushs the blood downwards. The blood would however end up going through the arteries because of the immense pressure but less will be pumped through the arteies with every contraction hence leading to less blood being pumped in the heart

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Q: How would the heart be affected if the purkyne tissue ceased to work?
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