The main components of the cardiac conduction system are the SA node, AV node, bundle of His, bundle branches, and Purkinje fibers
The SA node (anatomical pacemaker) starts the sequence by causing the atrial muscles to contract. From there, the signal travels to the AV node, through the bundle of His, down the bundle branches, and through the Purkinje fibers, causing the ventricles to contract.
This signal creates an electrical current that can be seen on a graph called an electrocardiogram
(EKG or ECG). Doctors use an EKG to monitor the cardiac conduction system’s electrical activity in the heart.