Apical Pulse

The apical pulse is the heartbeat heard or felt at the heart’s apex, typically over the left chest, and provides a direct measure of cardiac rate and rhythm. Clinicians assess it by placing a stethoscope over the point of maximal impulse and counting heart sounds, commonly for one full minute when rhythm is irregular or accuracy is important. In clinical practice, apical pulse assessment helps identify bradycardia, tachycardia, and irregular rhythms, guides medication decisions for drugs that affect cardiac function, and supports comparison with the peripheral pulse to detect pulse deficits. It remains a fundamental component of cardiovascular assessment.

Apical Pulse - Related Videos

Education

JoVE Core - Nursing

Assessment of apical pulse

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2025

Assessing the Apical Pulse Assessing the apical pulse is a critical nursing procedure, particularly indicated for: • Children younger than two years. • Cardiac patients. • Patients before administering specific medications (e.g., cardiac glycosides like digoxin). Location: The apical pulse is auscultated at the left midclavicular line. It is located at the 5th intercostal space, where the heart's apex is closest to the chest wall. Preparation: Gather Equipment: Ensure you have a...

Assessment of apical radial pulse

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2024

Apical-Radial (A-R) Pulse Assessment The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit. Pre-Procedural Preparation Equipment Preparation: Gather all necessary supplies, including a watch with a second hand (for accurate counting), a stethoscope, antiseptic wipes, and a vital signs flow sheet. Patient Interaction: • Identification: Confirm the patient's...

Pulse

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2024

When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level. The pulse serves as a clinical indicator...

Pulse

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2024

The pulse is one of the most fundamental physiological indicators of the body's cardiovascular health. It is the rhythmic expansion and contraction of the arterial walls in response to the pressure generated by the heart's pumping action. Pulse Rate and its Significance Pulse rate, often measured in beats per minute (bpm), reflects the heart rate (HR), which is influenced by numerous factors such as stress, physical activity, and hormonal changes. A normal resting adult pulse rate falls between...

Research

JoVE Journal - Medicine

Apical Resection Mouse Model to Study Early Mammalian Heart Regeneration

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Cited by 12 •

2016

A step-by-step video protocol of apical resection is demonstrated in this study. Apical resection is a recently highlighted surgical approach in mammalian heart regeneration research. This study may promote the application of apical resection as a standard methodology in research into the mechanism underlying heart regeneration.

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