A pulse is your heart rate, representing the number of times your heart beats in a single minute. It’s a vital sign that can provide valuable insights into your cardiovascular health. You can measure your pulse at different points on your body, most commonly using the radial artery in your wrist or the carotid artery in your neck.
Heart rates naturally differ from person to person. Regularly monitoring and understanding your heart rate can be an important step in maintaining good health and recognizing potential issues.
How to Accurately Measure Your Pulse
To obtain the most accurate pulse reading, follow these guidelines:
- Consistency is key: Take your pulse at the same time each day to establish a baseline.
- Rest beforehand: Sit down and relax for several minutes before measuring your pulse. This allows your heart rate to stabilize.
- Full count: Unless specifically instructed otherwise by your doctor, count your pulse for a full 60 seconds. This provides a more accurate representation of your heart rate.
Measuring Your Radial Pulse (Wrist)
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Position your arm with your palm facing up. Locate the radial artery, which is situated on the thumb side of your wrist, between the wrist bone and the tendon. Either wrist can be used.
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Use the tips of your index and middle fingers on your opposite hand to gently press on the radial artery.
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Apply just enough pressure to feel the pulsations. Avoid pressing too hard, as this can obstruct blood flow and make it difficult to accurately detect your pulse.
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Using a watch or clock with a second hand, count the number of pulses you feel for 60 seconds.
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Record your pulse rate in beats per minute (bpm).
Measuring Your Carotid Pulse (Neck)
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Locate your carotid artery on either side of your neck, near your windpipe (trachea). If you have been diagnosed with arterial plaques in your neck arteries, consult your physician before attempting to measure the carotid pulse.
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Place the tips of your index and middle fingers in the groove alongside your windpipe to feel the pulse in the carotid artery. It is crucial not to press on the carotid arteries on both sides of your neck simultaneously. This can lead to lightheadedness, dizziness, or even fainting.
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Apply only enough pressure to feel each beat. Avoid pressing too hard, as this can block blood flow.
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Using a watch or clock with a second hand, count the number of pulses you feel for 60 seconds.
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Record your pulse rate.
Understanding what a pulse is and how to accurately measure it empowers you to monitor your heart health and identify potential issues early. If you have concerns about your heart rate, consult with your healthcare provider.
References
- All about heart rate (pulse). American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/all-about-heart-rate-pulse. Accessed Dec. 16, 2021.
- Target heart rate and estimated maximum heart rate. Centers for Disease Control and Prevention. https://www.cdc.gov/physicalactivity/basics/measuring/heartrate.htm. Accessed Dec. 16, 2021.
- Roberts JR, et al., eds. Vital signs measurement. In: Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care. 7th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed Dec. 16, 2021.
- Bradycardia. American College of Cardiology. https://www.cardiosmart.org/topics/bradycardia/treatment. Accessed Jan. 6, 2022.
- Innes JA, et al., eds. The cardiovascular system. In: Macleod’s Clinical Examination. 14th ed. Elsevier; 2018. https://www.clinicalkey.com. Accessed Jan. 7, 2022.
