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SA node (sinoatrial) is primary pacemaker, SV node (sinoventricular) is secondary. Purkinje fibers are the very last pacemaker on the list. If a heart gets down to firing on that it, the person is just about dead and needs IMMEDIATE medical attention. Its max rate per minute is 30. A normal heart rate is b/n 60-100 beats per minute. Angie RN

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16y ago

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