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Pulse

The pulse is the number of heartbeats per minute.

Alternative Names

Heart rate; Heart beat

How the Test is Performed

The pulse can be measured at the:

  • Back of the knees
  • Groin
  • Neck
  • Temple
  • Top or inner side of the foot
  • Wrist

In these areas, an artery passes close to the skin.

To measure the pulse at the wrist, place the index and middle finger over the underside of the opposite wrist, below the base of the thumb. Press with flat fingers until you feel the pulse.

To measure the pulse on the neck, place the index and middle fingers just to the side of the Adam's apple, in the soft, hollow area. Press gently until you locate the pulse. Note: Sit or lie down before taking the neck pulse. The neck arteries in some people are sensitive to pressure. Fainting or slowing of the heartbeat can result. Also, do not take the pulses on both sides of the neck at the same time. Doing so can slow the flow of blood to the head and lead to fainting.

Once you find the pulse, count the beats for 1 full minute. Or count the beats for 30 seconds and multiply by 2. This will give the beats per minute.

How to Prepare for the Test

To determine the resting heart rate, you must have been resting for at least 10 minutes. Take the exercise heart rate while you are exercising.

How the Test will Feel

There is a slight pressure from the fingers.

Why the Test is Performed

Measuring the pulse gives important information about your health. Any change from your normal heart rate can indicate a medical condition. Fast pulse may signal an infection or dehydration . In emergency situations, the pulse rate can help determine if the patient's heart is pumping.

Pulse measurement has other uses as well. During or immediately after exercise, the pulse rate gives information about your fitness level and health.

Normal Results

For resting heart rate:

  • Newborns 0 - 1 month old: 70 - 190 beats per minute
  • Infants 1 - 11 months old: 80 - 160 beats per minute
  • Children 1 - 2 years old: 80 - 130 beats per minute
  • Children 3 - 4 years old: 80 - 120 beats per minute
  • Children 5 - 6 years old: 75 - 115 beats per minute
  • Children 7 - 9 years old: 70 - 110 beats per minute
  • Children 10 years and older, and adults (including seniors): 60 - 100 beats per minute
  • Well-trained athletes: 40 - 60 beats per minute

What Abnormal Results Mean

Resting heart rates that are continually high (tachycardia ) may mean a problem. Talk to a health care provider about this. Also discuss resting heart rates that are below the normal values (bradycardia ).

A pulse that is very firm (bounding pulse ) and that lasts for more than a few minutes should be checked by your health care provider as well. An irregular pulse can also indicate a problem.

A pulse that is hard to locate may mean blockages in the artery. These blockages are common in people with diabetes or atherosclerosis from high cholesterol. Your health care provider may order a test known as a Doppler study to evaluate the blockages.

References

Bernstein D. Evaluation of the cardiovascular system: history and physical evaluation. In: Kliegman RM, Stanton BF, St. Geme JW III, et al, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Elsevier Saunders; 2011:chap 416.

Simel DL. Approach to the patient: history and physical examination. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, Pa: Elsevier Saunders; 2011:chap 6.

Updated: 1/22/2013

Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.


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