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The development of the catheter ablation techniques has generated an increasing interest in the knowledge of the anatomy and arrangement of the heart conduction tissue. The conduction system is composed by specialized myocytes. It consists of an atrial component, the sinus node and the atrioventricular node, which are in contact with the atrial myocardium. After that, the bundle of His penetrates the right fibrous trigone and is divided in two branches or bundles, the left and the right branches. The so-called Purkinje fibres diverge from these His branches. The bundle of His and his branches are surrounded by a layer of connective tissue, which disappears at the level of the Purkinje fibres, allowing them to get in contact with the ventricular working myocardium. A detailed knowledge of the human heart specific conduction tissue will help electrophysiologists and interventional cardiologists to develop new and improve existing diagnostic and therapeutic

Anatomía del tejido especializado de conducción cardiaco. Su interés en la cardiología intervencionista