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Cardiac impulse is generated by specialized cardiac muscle cells known as pacemaker cells, primarily located in the sinoatrial (SA) node of the heart. These cells have the unique ability to spontaneously depolarize, initiating an electrical signal that spreads through the atria, causing them to contract. The impulse then travels to the atrioventricular (AV) node, where it is briefly delayed before passing to the ventricles, leading to their contraction. This coordinated sequence ensures efficient blood pumping throughout the heart and body.

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