Skip navigation
MedlinePlus Trusted Health Information for You U.S. National Library of MedicineNational Institutes of Health
Contact Us FAQs Site Map About MedlinePlus
español Home Health Topics Drugs & Supplements Medical Encyclopedia Dictionary News Directories Other Resources

 

Medical Encyclopedia

Other encyclopedia topics:  A-Ag  Ah-Ap  Aq-Az  B-Bk  Bl-Bz  C-Cg  Ch-Co  Cp-Cz  D-Di  Dj-Dz  E-Ep  Eq-Ez  F  G  H-Hf  Hg-Hz  I-In  Io-Iz  J  K  L-Ln  Lo-Lz  M-Mf  Mg-Mz  N  O  P-Pl  Pm-Pz  Q  R  S-Sh  Si-Sp  Sq-Sz  T-Tn  To-Tz  U  V  W  X  Y  Z  0-9 

Pulse

Printer-friendly versionEmail this page to a friend
Contents of this page:

Illustrations

Taking your carotid pulse
Taking your carotid pulse
Radial pulse
Radial pulse
Wrist pulse
Wrist pulse

Alternative Names    Return to top

Heart rate; Heart beat

Definition    Return to top

The pulse is the number of heartbeats per minute.

How the Test is Performed    Return to top

The pulse is measured at the:

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 firmly with flat fingers until you feel the pulse.

To measure the pulse on the neck, place the index and middle finger just to the side of the Adam's apple, in the soft, hollow area. Press firmly until you locate the pulse.

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

How to Prepare for the Test    Return to top

If you are determinine 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    Return to top

There is a slight pressure from the fingers.

Why the Test is Performed    Return to top

Measuring the pulse can give very important information about your health. Any change from 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.

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

Normal Results    Return to top

For resting heart rate:

What Abnormal Results Mean    Return to top

Resting heart rates that are consistently high (tachycardia) may indicate a problem, and you should consult a health care provider. Discuss resting heart rates that are below the normal values (bradycardia) with your health care provider.

Also, discuss a pulse that is very firm (bounding pulse) and that lasts for more than a few minutes with your health care provider. An irregular pulse can also indicate a problem.

A pulse that is hard to feel may indicate 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 this potentially serious situation.

See also: Heartbeat sensations

References    Return to top

Seidel HM, Ball JW, Dains JE, Benedict GW. Mosby's Guide to Physical Examination. 6th ed. Philadelphia, Pa: Mosby; 2007.

Update Date: 10/31/2007

Updated by: Robert Hurd, M.D., Professor of Endocrinology, Department of Biology, Xavier University, Cincinnati, Ohio, and physician in the Primary Care Clinic, Cincinnati Veterans Administration Medical Center, Cincinnati, Ohio. Review provided by VeriMed Healthcare Network.

A.D.A.M. Logo

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2008, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.