The sinoatrial node lies in the wall of the right atrium near the opening of the superior vena cava. Its arterial supply most commonly arises from:
- A Left anterior descending artery in the majority
- B Right coronary artery in all individuals
- C Posterior descending artery in the majority
- D Right coronary artery in 60% and left circumflex artery in 40% of individuals ✓
Explanation
The SA node artery (sinus node artery) arises from the right coronary artery in approximately 55–60% of individuals and from the left circumflex artery in approximately 40–45%. This dual supply pattern explains why SA node dysfunction can result from occlusion of either vessel. The posterior descending artery supplies the AV node; its territory depends on coronary dominance. This distinction is relevant for understanding which infarct patterns cause SA node dysfunction versus AV block.
Reference: BD Chaurasia's Human Anatomy, 8th ed.
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Written and medically reviewed by the StethoPrep medical team.