Pulse Rate: Difference between revisions

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Peripheral pulses: pulses that can be felt at the periphery of the body by palpating an artery over a bony prominence. Examples are Carotid, Radial and Popliteal pulses
Peripheral pulses: pulses that can be felt at the periphery of the body by palpating an artery over a bony prominence. Examples are Carotid, Radial and Popliteal pulses


Apical pulses: It is a central pulse located on the apex of the heart that is monitored using a stethoscope.<ref>Susan B, Thomas J, George D. Physical Rehabilitation sixth edition. USA: F.A. Davis 2014.</ref>
Apical pulses: It is a central pulse located on the apex of the heart that is monitored using a stethoscope.<ref name=":0">Susan B, Thomas J, George D. Physical Rehabilitation sixth edition. USA: F.A. Davis 2014.</ref>


== parameters of Pulses ==
== parameters of Pulses ==
Rate: It is the number of pulsation which could be bradycardia (less than 60 beats per minute) or Tachycardia( more than 100 beat per minute)
Rate: It is the number of pulsation which could be bradycardia (less than 60 beats per minute) or Tachycardia( more than 100 beat per minute)


Rhythm: it is the time interval between pulse beat
Rhythm: it is the time interval between pulse beat<ref name=":0" />


== Factors that Influence Heart Rate  ==
== Factors that Influence Heart Rate  ==
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*Emotions/Stress
*Emotions/Stress
*Exercise
*Exercise
*Medications
*Medications<ref name=":0" />


== Pulse site ==
== Pulse site ==
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Popliteal
Popliteal


Dorsalis pedis  
Dorsalis pedis<ref name=":0" />


== Indications of elevated pulse(tachycardia) ==
== Indications of elevated pulse(tachycardia) ==
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# Electrolyte imbalance
# Electrolyte imbalance
# Alcohol
# Alcohol
# Emotional stress
# Emotional stress<ref>Medtronic. available from: www.medtronic,com/au-en/your-heart/conditions/fast-heartbeat.html</ref>


== Indication for reduced pulse rate(bradycardia) ==
== Indication for reduced pulse rate(bradycardia) ==
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4.Medications
4.Medications


5. Inflammatory diseases such as rheumatic fever
5. Inflammatory diseases such as rheumatic fever<ref>Mayoclinic. available from: www.mayoclinic.org/diseases-conditions/bradycardia/symptoms-causes/syc-20355474</ref>


== Physiotherapy Management ==
== Physiotherapy Management ==
Therapist monitor the heart rate during exercise, the intensity and safe exercise level. Also therapist determine the level of intensity exercise the patient can bear either light or moderate or Heavy Exercise intensity zone
Therapist monitor the heart rate during exercise, the intensity and safe exercise level. Also therapist determine the level of intensity exercise the patient can bear either light or moderate or Heavy Exercise intensity zone<ref>ATI. available from: www,atipt.com/news/target-heart-rate-and-exercise.</ref>.


==References==
==References==
LIVESCIENCE. available from: <nowiki>https://www.google.com/amp/s/amp.livescience.com/42081-normal-heart-rate.html</nowiki>
<references />
 
Susan B, Thomas J, George D. Physical Rehabilitation sixth edition. USA: F.A. Davis 2014.
 
Abbondanza JM, inventor; Diversified Products Corp, assignee. Pulse rate controlled exercise system. United States patent US 5, 527,239. 1996 Jun 18.
 
Medtronic. available from: www.medtronic,com/au-en/your-heart/conditions/fast-heartbeat.html
 
Mayoclinic. available from: www.mayoclinic.org/diseases-conditions/bradycardia/symptoms-causes/syc-20355474
 
ATI. available from: www,atipt.com/news/target-heart-rate-and-exercise.

Revision as of 17:25, 5 March 2019

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Introduction[edit | edit source]

Pulse wave .jpg

Pulse/Heart rate is the wave of blood in the artery created by contraction of the left Ventricle during a cardiac cycle. The strength or amplitude of the pulse reflects the amount of blood ejected with myocardial contraction(stroke volume). Normal pulse rate range for an adult is between 60-100 beats per minute. A well-trained athlete may have a resting heart rate of 40 to 60 beats per minute, according to the American heart Association(AHA)[1].

Types of Pulse rate[edit | edit source]

Peripheral pulses: pulses that can be felt at the periphery of the body by palpating an artery over a bony prominence. Examples are Carotid, Radial and Popliteal pulses

Apical pulses: It is a central pulse located on the apex of the heart that is monitored using a stethoscope.[2]

parameters of Pulses[edit | edit source]

Rate: It is the number of pulsation which could be bradycardia (less than 60 beats per minute) or Tachycardia( more than 100 beat per minute)

Rhythm: it is the time interval between pulse beat[2]

Factors that Influence Heart Rate[edit | edit source]

  • Age
  • Sex
  • Emotions/Stress
  • Exercise
  • Medications[2]

Pulse site[edit | edit source]

Temporal

Carotid

Brachial

Radial

Femoral

Popliteal

Dorsalis pedis[2]

Indications of elevated pulse(tachycardia)[edit | edit source]

  1. Heart related conditions such as High blood pressure
  2. Poor blood supply to the myocardium due to coronary artery disease
  3. Thyroid disease(Hyperthyroidism)
  4. Electrolyte imbalance
  5. Alcohol
  6. Emotional stress[3]

Indication for reduced pulse rate(bradycardia)[edit | edit source]

1.Infection(myocarditis)

2. Complication of heart surgery

3. Hypothyroidism

4.Medications

5. Inflammatory diseases such as rheumatic fever[4]

Physiotherapy Management[edit | edit source]

Therapist monitor the heart rate during exercise, the intensity and safe exercise level. Also therapist determine the level of intensity exercise the patient can bear either light or moderate or Heavy Exercise intensity zone[5].

References[edit | edit source]

  1. LIVESCIENCE. available from: https://www.google.com/amp/s/amp.livescience.com/42081-normal-heart-rate.html
  2. 2.0 2.1 2.2 2.3 Susan B, Thomas J, George D. Physical Rehabilitation sixth edition. USA: F.A. Davis 2014.
  3. Medtronic. available from: www.medtronic,com/au-en/your-heart/conditions/fast-heartbeat.html
  4. Mayoclinic. available from: www.mayoclinic.org/diseases-conditions/bradycardia/symptoms-causes/syc-20355474
  5. ATI. available from: www,atipt.com/news/target-heart-rate-and-exercise.