Pulse/heart rate is the wave of blood in the artery produced by convulsion of the left ventricle throughout a cardiac cycle. The toughness or amplitude that the pulse reflects the quantity of blood ejected through myocardial contraction (stroke volume). Regular pulse rate selection for one adult is between 60-100 beats every minute. A trained athlete may have actually a relaxing heart rate of 40 come 60 beats every minute, according to the American heart Association (AHA).

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Types of Pulse rate

Peripheral pulses that deserve to be felt at the periphery of the body by palpating one artery end a bony prominence. Instances are carotid, radial and also popliteal pulses

Factors that affect Heart Rate


How to inspect Pulse

Pulse site


It is simplest to take the pulse in ~ the wrist. If you usage the lower neck, be certain not to press too hard, and also never push on the pulses ~ above both sides of the reduced neck in ~ the very same time to protect against blocking blood circulation to the brain.


When acquisition your pulse:

Using the very first and second fingertips, press firmly yet gently top top the arteries till you feeling a pulse.Begin counting the pulse as soon as the clock"s 2nd hand is ~ above the 12.Count your pulse for 60 secondsWhen counting, execute not clock the clock continuously, but concentrate on the win of the pulse.If unsure around your results, ask another person to counting for you.

Parameters the Pulses

Rate: number of pulsation which could be Bradycardia (100/minute)


Reduced pulse rate

Pulse rate <3>

Indications of decreased pulse

Infection (e.g. Myocarditis)Complication of heart surgeryHypothyroidismMedication


Near-fainting or fainting (syncope)Dizziness or lightheadednessFatigueShortness that breathChest painsConfusion or storage problemsEasily tiring during physical activity


There are two an easy types the bradycardia:

Sick sinus syndrome is common in elderly however can occur at any age. It occurs when the sinus node (the heart"s own pacemaker) fails and also does no reliably trigger heartbeats.Heart block is the discontinuity of the electrical impulses ~ above their means to the ventricles and also results in a slow. It deserve to be partial or complete.

Risk factors

AgeHigh blood pressureSmokingHeavy alcohol useRecreational drug usePsychological stress or anxiety


Frequent fainting spellsHeart failureSudden cardiac arrest or sudden death


ExerciseEat healthy dietMaintain healthy weightDon"t smokeAvoid alcohol consumption.Keep blood pressure and cholesterol under controlManage stressScheduled checkups


Elevated pulse rate

Pulse price >100/min

Indications that elevated pulse

Heart related conditions such as high blood pressurePoor blood it is provided to the myocardium as result of coronary artery diseaseThyroid condition (e.g. Hyperthyroidism)Electrolyte imbalanceAlcohol use


Shortness the breathLightheadednessRapid pulse rateHeart palpitationsChest painSyncope


Atrial Flutter: Heart"s atria beats very fast yet at a constant rate.Ventricular Tachycardia: quick heart price that starts with abnormal electrical signals in the ventricles.Ventricular Fibrillation: it occurs when rapid, chaotic electrical impulses cause the ventricles to quiver instead of pumping vital blood come the body.

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Risk Factors

AnemiaDiabetesHeart diseaseHeavy alcohol useHeavy caffeine useHigh blood pressureOveractive or underactive thyroidPsychological stress and anxiety or anxietySleep apneaSmokingUse of stimulant drugs


Blood clots that can cause a stroke or heart attackHeart failureFrequent fainting spells or unconsciousnessSudden death


ExerciseEat healthy and balanced dietMaintain healthy weightDon"t smokeAvoid alcohol consumption.Keep blood pressure and also cholesterol under controlManage stressScheduled checkups

Physiotherapy Management

The role of the physiotherapist is to screen the love rate throughout exercise, the intensity and safe practice level. The pulse rate need to be taking into account to identify the level of intensity exercise the patient can bear (light vs middle vs heavy exercise soot zone).<7><8>