اماكن قياس النبض في جسم الانسان

	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 إبراهيم بالحارث

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

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

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

السيد ابراهيم بالحارث المحترم



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