Apical pulse is auscultated with a stethoscope over the chest where the heart’s mitral valve is best heard. In infants and young children, the apical pulse is located at the fourth intercostal space at the left midclavicular line. In adults, the apical pulse is located at the fifth intercostal space at the left midclavicular line (OER #1). See Figure 3.5 below. Figure 3.5: Apical Pulse (Illustration credit: Hilary Tang) Apical pulse rate is indicated during some assessments, such as when conducting a cardiovascular assessment and when a client is taking certain cardiac medications (e.g., digoxin) (OER #1). Sometime the apical pulse is auscultated pre and post medication administration. It is also a best practice to assess apical pulse in infants and children up to five years of age because radial pulses are difficult to palpate and count in this population. It is typical to assess apical pulses in children younger than eighteen, particularly in hospital environments. Apical pulses may also be taken in obese people, because their peripheral pulses are sometimes difficult to palpate. Position the client in a supine (lying flat) or in a seated position. Physically palpate the intercostal spaces to locate the landmark of the apical pulse. Ask the female client to re-position her own breast tissue to auscultate the apical pulse. For example, the client gently shifts the breast laterally so that the apical pulse landmark is exposed. See Figure 3.6 below. Alternatively, the healthcare provider can use the ulnar side of the hand to re-position the breast tissue and auscultate the apical pulse. Ensure draping to protect the client’s privacy. Either the bell or diaphragm are used to auscultate the client’s heart rate and rhythm. There is a pediatric-size stethoscope for infants. Typically, apical pulse rate is taken for a full minute to ensure accuracy; this is particularly important in infants and children due to the possible presence of sinus arrhythmia. Upon auscultating the apical pulse, you will hear the sounds “lub dup” – this counts as one beat. Count the apical pulse for one minute. Note the rate and rhythm.  Figure 3.6: Female client re-positioning her breast in order to auscultate the apical pulse Listen to Audio clip 3.1 and count the apical pulse. For practice, we have made this clip 30 seconds so you will need to multiply it by two to report it as beats per minute (but remember, the most accurate measurement is to count the apical pulse for one minute). The reported apical rate in Audio clip 3.1 is: 60 bpm (30 x 2) with a regular rhythm An interactive or media element has been excluded from this version of the text. You can view it online here: pb.libretexts.org/vitalsign/?p=112 Audio clip 3.1: Counting apical pulse rate Alternatively, if viewing textbook as a pdf, use this link: https://www.youtube.com/embed/yL4E_6PaPgg?rel=0 Although pulses are best measured at rest, sometimes this is not possible. It is important to document other factors such as when a person is in pain or an infant/child is crying. _________________________________________________________________________ Part of this content was adapted from OER #1 (as noted in brackets above): © 2015 British Columbia Institute of Technology (BCIT). Clinical Procedures for Safer Patient Care by Glynda Rees Doyle and Jodie Anita McCutcheon, British Columbia Institute of Technology. Licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Download this book for free at http://open.bccampus.ca
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 2
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 3
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 4
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 5
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 6
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 7
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 8
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 9
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 10
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 11
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 12
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 13
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 14
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 15
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 16
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 17
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 18
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 19
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 20
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 21
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 22
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 23
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 24
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 25
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. Page 26
The apical pulse is one of nine common pulse sites on your body. You can find it on the left side of your chest, along the bottom of the sternum. Because the apical pulse is near your heart, doctors can use it to assess cardiac function. A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.
Unlike other locations where you can feel your pulse, your apical pulse is very near your heart. This means that monitoring your pulse from this point is like listening directly to your heart, which has a few benefits for you and your doctors. First, it is noninvasive, making it a more comfortable option than other tests. Additionally, your apical pulse tends to be very reliable when assessing cardiac function compared to the different pulse points. Your apical pulse is one of nine common pulse sites. The apical pulse point below your left nipple corresponds to the bottom, pointed portion of your heart. There are pulse sites located all over the body. Other than the apical pulse, there are eight other common pulse points:
Your pulse is a measure of your blood being pumped through your arteries by your heart. Feeling the vibrations of your blood moving is taking your pulse. You will need to sit or lie down for your doctor to measure your apical pulse. To find the correct apical pulse location, called the point of maximal impulse (PMI), your doctor will need to use landmarks on your body. These include your:
Your doctor will start at your breastbone, or the bony portion of your sternum. Next, they will feel for the second intercostal, or space between your ribs. Finally, they will search for your fifth intercostal and travel to your midclavicular line. This spot will likely be your PMI. At this point, your doctor will set their stethoscope or use their hands or fingers. They will use their timing device while listening to or feeling your apical pulse for a full minute. Your doctor will count one beat every time your heart pumps in the two-syllable pattern, which we recognize as the “lub dub” sound. Apical pulse ranges can vary by age. For example, children have faster heart rates than adults. Thus, they will have a different typical apical pulse range. Because doctors measure it when you are sitting or lying down, your apical pulse rate is your resting heart rate. According to the American Heart Association, an adult’s pulse generally sits between 60 and 100 beats per minute (bpm). There are various reasons why your apical pulse may be outside the typical range. If your pulse rate exceeds the typical range, your healthcare professional will check for: If none of these factors are present or your pulse rate is consistently above or below average, your doctor may proceed with further evaluation. An apical pulse rate higher or lower than usual for your age group can indicate an underlying medical condition or illness. A high apical pulse could result from heart disease, an overactive thyroid, or heart failure. Certain medications often cause a low apical pulse. If you take a beta-blocker or antidysrhythmic drug, your heart rate might be lower than usual. A pulse deficit looks at the difference between your apical pulse and another peripheral pulse point, often your radial pulse. Two people will need to be present to measure the pulses, along with the stethoscope and timing device. One person will take your apical pulse while the other will take your radial pulse on your wrist. They will measure your heart rate simultaneously for a full minute. Once the minute is complete, they will subtract your radial pulse from your apical pulse. Your apical and radial pulse rates will be the same if everything is working as it should. Your apical pulse rate will never be lower than your radial pulse rate. If the radial pulse is slower than the apical pulse, that indicates a pulse deficit. A pulse deficit can indicate a problem with the efficiency of your heart or cardiac function. For example, people with atrial fibrillation — an irregular heartbeat that can cause serious heart problems — tend to have a pulse deficit. Generally, your doctor will order an echocardiogram if you have an apical-radial pulse deficit. Your apical pulse point is a reliable and noninvasive way to assess your cardiac function. The apical pulse point, located along the lower left portion of your sternum, allows your doctor to measure your heartbeat directly. An apical pulse score that falls above or below the average range often justifies checking your apical-radial pulse deficit. A deficit could indicate a problem with your heart or cardiac system. Though resting heart rate varies between adults and children, scores outside the typical range coupled with deficits may necessitate an echocardiogram. Talk with your doctor if you think your pulse rate may be atypical or if you are experiencing other concerning symptoms. |
List two reasons for taking the pulse at the apical pulse site
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