Conduction system myocytes are a subpopulation of cardiac myocytes tha
t display unique electrophysiologic properties. Significant difference
s in cellular components of conduction myocytes have been demonstrated
by the application of in situ procedures using both immunologic and m
olecular probes. Although molecular and cellular biology investigation
s are still at the beginning, they unequivocally show that conduction
myocytes are a highly heterogeneous myocyte population whose differenc
e from working myocytes might reflect both the degree of functional sp
ecialization and the origin from a cell lineage distinct from myocardi
al cells.