Where is the apical pulse, and what can it indicate?
Examples of such symptoms include: Apical pulse measurements usually take place while a person is either sitting or lying down. The doctor will place a stethoscope on the left side of the breastbone, over the apex of the heart. They can also feel the apical pulse at the point of maximal impulse (PMI).
Why do you need a stethoscope for apical pulse?
It is important to place the stethoscope at the heart’s apex to hear the heartbeat clearly and it is also important to know the anatomical landmarks and make use of them to determine the apical pulse. The number of times the heart beats per minute is called heart rate. A stethoscope helps to amplify the sound of the apical pulse.
Why is apical pulse rate important for infants?
There is a pediatric-size stethoscope for infants. Typically, apical pulse rate is taken for a full minute to ensure accuracy; this is particularly important in infants and children due to the possible presence of sinus arrhythmia. Upon auscultating the apical pulse, you will hear the sounds “lub dup” – this counts as one beat.
When is the best time to take an apical pulse?
When should an apical pulse be taken? The apical pulse is typically taken during a cardiac exam if a patient has a family history of heart disease or has been experiencing symptoms of heart disease including chest pain, shortness of breath, irregular heartbeat, and fatigue.
Can a obese person take an apical pulse?
Apical pulses may also be taken in obese people, because their peripheral pulses are sometimes difficult to palpate. Position the client in a supine (lying flat) or in a seated position. Physically palpate the intercostal spaces to locate the landmark of the apical pulse.
What can a doctor do about an irregular apical pulse?
Measuring the apical pulse is a noninvasive and effective way to assess a person’s heart function. Several factors, including age, level of physical fitness, and emotional state, can influence a person’s pulse. If a person has an irregular apical pulse, their doctor may order additional tests, such as a chest X-ray, EKG, or echo.
Can you feel the apical pulse with a stethoscope?
The midclavicular line is the imaginary line which initiates from the left end of the collarbone to reach the nipple (2). The apical pulse can be felt using a stethoscope or even by touching. However, usage of the stethoscope is recommended for accuracy.