الشريان الصدغي Temporal Pulse
الشريان السباتي Carotid Pulse
الشريان العضدي Brachial Pulse
الشريان الكعبري Radial Pulse
الشريان الفخذي Femoral Pulse
شريان خلف الركبه Popliteal Pulse
شريان خلف العرقوب Postenor Tibialis
شريان مقدمه القدم Dorsalis Pedis
Pulse Measurement
Your pulse is the rate at which your heart beats. Your pulse is usually called your heart rate, which is the number of times your heart beats each minute (bpm). However, the rhythm and strength of the heartbeat can also be noted, as well as whether the blood vessel feels hard or soft. Changes in your heart rate or rhythm, a weak pulse, or a hard blood vessel may be caused by heart disease or another problem
As your heart pumps blood through your body, you can feel a pulsing in some of the blood vessels close to the skin's surface, such as your wrist, neck, or upper arm. Counting your pulse rate is a simple way to find out how fast your heart is beating
Your doctor will usually check your pulse during a physical examination or in an emergency, but you can easily learn to check your own pulse. You can check your pulse the first thing in the morning, just after you wake up but before you get out of bed. This is called a resting pulse. Some people like to check their pulse before and after they exercise
You check your pulse rate by counting the beats in a set period of time (at least 15 to 20 seconds) and multiplying that number to get the number of beats per minute. Your pulse changes from minute to minute. It will be faster when you exercise, have a fever, or are under stress. It will be slower when you are resting.
Why It Is Done
Your pulse is checked to
See how well the heart is working. In an emergency situation, your pulse rate can help find out if the heart is pumping enough blood
Help find the cause of symptoms, such as an irregular or rapid heartbeat (palpitations), dizziness, fainting, chest pain, or shortness of breath
Check for blood flow after an injury or when a blood vessel may be blocked
Check on medicines or diseases that cause a slow heart rate. Your doctor may ask you to check your pulse every day if you have heart disease or if you are taking certain medicines that can slow your heart rate, such as digoxin or beta-blockers / like propranolol or atenolol
Check your general health and fitness level. Checking your pulse rate at rest, during exercise, or immediately after vigorous exercise can give you important information about your overall fitness level
How To Prepare
All you need to check your pulse is a watch with a second hand or a digital stop watch. Find a quiet place, where you can sit down and are not distracted when you are learning to check your pulse
Taking a pulse - heart rate
Your pulse is the rate at which your heart beats. As your heart pumps blood through your body, you can feel a pulsing in some of the blood vessels close to the skin's surface
The usual resting pulse for an adult is 60 to 100 beats per minute. Certain illnesses can cause your pulse to change, so it is helpful to know what your resting pulse is when you are well. To find your resting pulse, count your pulse after you have been sitting or resting quietly for at least 10 minutes
You can easily check your pulse on the inside of your wrist, below your thumb
Gently place 2 fingers of your other hand on this artery
Do not use your thumb because it has its own pulse that you may feel.
Count the beats for 30 seconds; then double the result to get the number of beats per minute
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You can also check your pulse in the carotid artery. This is located in your neck, on either side of your windpipe. Be careful when checking your pulse in this location, especially if you are older than 65. If you press too hard, you may become lightheaded and fall
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You can buy an electronic pulse meter to automatically check your pulse in your finger, wrist, or chest. These devices are helpful if you have trouble measuring your pulse or if you wish to check your pulse while you exercise
How It Feels
Checking your pulse should not cause pain
Risks
Checking your pulse should not cause problems. Be careful when checking your pulse in your neck, especially if you are older than 65. If you press too hard, you may become lightheaded and fall
Results
Your pulse is the rate at which your heart beats. Your pulse is usually called your heart rate, which is the number of times your heart beats each minute - bpm
Normal resting heart rate
The chart below shows the normal range of a resting heart rate (pulse rate after resting 10 minutes) in beats per minute, according to age. Many things can cause changes in your normal heart rate, including your age, activity level, and the time of day
Resting heart rate Age or fitness level Beats per minute - bpm
Babies to age 1 // 100 - 160
Children ages 1 to 10 // 60 - 140
Children older 11 to 17 // 60 - 100
Adults // 60 - 100
Well-conditioned athletes // 40–60
Your pulse usually has a strong steady or regular rhythm. Your blood vessel should feel soft. An occasional pause or extra beat is normal. Normally, your heart rate will speed up a little when you breathe deeply. You can check this normal change in your pulse rate by changing your breathing pattern while taking your pulse
Many conditions can change your pulse rate. Your doctor will talk with you about any abnormal results that may be related to your symptoms and medical history
Fast pulse
A fast heart rate may be caused by
Activity or exercise
Anemia.
Decongestants
Fever
Heart disease
An overactive thyroid gland - hyperthyroidism
Medicine used to treat asthma
Stimulants such as caffeine, amphetamines, diet pills, and cigarette
Stress
Slow pulse
A slow resting heart rate may be caused by
Heart disease
Heart medicine
High levels of fitness
An underactive thyroid gland - hypothyroidism
Weak pulse
A weak pulse may be caused by
A blood clot in your arm or leg.
Diseases of the blood vessels - peripheral arterial disease
Heart disease and heart failure
Heart rate during exercise
Many people take their pulse rate during or after exercise, to check their heart rate and to see if they are exercising at a healthy pace. Your heart rate during and after exercise will be higher than your resting heart rate
During exercise, your heart should be working hard enough for a healthy effect but not so hard that your heart is overworked. You benefit the most when your exercise heart rate is 50% to 70% of your maximum heart rate
Find your maximum heart rate by subtracting your age from 220. For example, if you are 40 years old, your maximum heart rate is 180
Find your heart rate range by multiplying your maximum heart rate by 0.6 and 0.8 (60% to 80%). For example, if your maximum heart rate is 180, your range is 108 to 144 beats per minute
To check your heart rate while exercising
After exercising for about 10 minutes, stop and take your pulse.
Measure your heart rate by placing two fingers gently against your wrist (don't use your thumb). If it is hard to feel the pulse in your wrist, find the artery in your neck that is just to either side of the windpipe. Press gently
Count the beats for 15 seconds. Multiply the number of beats by 4. This is your beats per minute
Make changes in how hard you exercise so that your heart rate stays between 60% and 80% of your maximum heart rate
Your target heart rate is only a guide. Everyone is different, so pay attention to how you feel
Target heart rate ranges during exercise
Age in years Minimum
maximum heart rate - bpm)
30
114–152
35
111–148
40
108–144
45
105–140
50
102–136
55
99–132
60
96–128
65
93–124
70
90–120
75
87–116
What Affects the Test
You may not be able to feel your pulse or count your pulse correctly if you
Have decreased sensation in your fingers.
Are not using the right amount of pressure. Too much pressure can slow the heart rate, and too little pressure can cause you to miss some beats
Are trying to take your pulse in an area that is covered by too much muscle or fat.
Are using your thumb to take your pulse. Your thumb has its own pulse, which will interfere with your counting
Are moving too much while trying to take your pulse
What To Think About
Call your doctor if you have any of the following symptoms
An irregular or rapid heartbeat (palpitations). Palpitations can be persistent or may come and go - episodic
Chest pain
Dizziness
Fainting
Lightheadedness
Shortness of breath
Talk to your doctor if you have a fast heart rate, many skipped or extra beats, or if the blood vessel where you check your pulse feels hard
Many people take their pulse during or right after exercise, to check their heart rate and to find out if they are exercising at a healthy pace. Your heart rate (pulse) during and after exercise will be higher than your resting heart rate
Call your doctor if your heart rate does not come down within a few minutes after you have stopped exercising
As you continue to exercise regularly, your heart rate will not rise as high as it once did with the same amount of effort. This is a sign that you are becoming more fit
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