Pulse Min



This web site will not work properly on your operating system and browser. We recommend using a supported configuration. Heart rate, also known as pulse, is the number of times a person's heart beats per minute. Normal heart rate varies from person to person, but a normal range for adults is 60 to 100 beats per.

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Test Overview

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). But 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 in 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.

Health Tools

Health Tools help you make wise health decisions or take action to improve your health.

Interactive tools are designed to help people determine health risks, ideal weight, target heart rate, and more.

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 (such as atenolol or propranolol).
  • 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.

How It Is Done

You can measure your pulse rate anywhere an artery comes close to the skin, such as in your wrist or neck, temple area, groin, behind the knee, or top of your foot.

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.

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.

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

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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:

70–120

Children ages 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 past health.

Fast pulse

A fast heart rate may be caused by:

  • Activity or exercise.
  • Anemia.
  • Some medicines, such as decongestants and those used to treat asthma.
  • Fever.
  • Some types of heart disease.
  • An overactive thyroid gland (hyperthyroidism).
  • Stimulants such as caffeine, amphetamines, diet pills, and cigarettes.
  • Drinking alcohol.
  • Stress.

Slow pulse

A slow resting heart rate may be caused by:

  • Some types of heart disease and medicine to treat heart disease.
  • 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 use a target heart rate to guide how hard they exercise. Use this Interactive Tool: What Is Your Target Heart Rate? This tool calculates your target heart rate using your maximum heart rate (based on your age), your resting heart rate, and how active you are.

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 within the range of your target heart rate. You can take your pulse rate during or after exercise to see if you are exercising at your target heart rate.

Or you can wear a heart rate monitor during exercise so you do not have to take your pulse. A heart rate monitor shows your pulse rate continuously, so you see how exercise changes your heart rate.

To check your heart rate while exercising:

  1. 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.
  2. Make changes in how hard you exercise so that your heart rate stays within the range of your target heart rate.

Target heart rate is only a guide. Everyone is different, so pay attention to how you feel, how hard you are breathing, how fast your heart is beating, and how much you feel the exertion in your muscles.

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

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. To learn more, see the topic Fitness.

Related Information

References

Other Works Consulted

  • National Institutes of Health, Medline Plus Medical Encyclopedia (2011). Pulse. Available online: http://www.nlm.nih.gov/medlineplus/ency/article/003399.htm.

Credits

Author: Healthwise Staff
Medical Review:
E. Gregory Thompson MD - Internal Medicine
Adam Husney MD - Family Medicine
Martin J. Gabica MD - Family Medicine

Author: Healthwise Staff

Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Martin J. Gabica MD - Family Medicine

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

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Pulse Measurement
Pulse & Heart Rate

Overview

What is your pulse?

Your pulse is your heart rate, or the number of times your heart beats in one minute. Pulse rates vary from person to person. Your pulse is lower when you are at rest and increases when you exercise (more oxygen-rich blood is needed by the body when you exercise). Knowing how to take your pulse can help you evaluate your exercise program.

How to take your pulse

  1. Place the tips of your index, second and third fingers on the palm side of your other wrist below the base of the thumb. Or, place the tips of your index and second fingers on your lower neck on either side of your windpipe.
  2. Press lightly with your fingers until you feel the blood pulsing beneath your fingers. You may need to move your fingers around slightly up or down until you feel the pulsing.
  3. Use a watch with a second hand, or look at a clock with a second hand.
  4. Count the beats you feel for 10 seconds. Multiply this number by six to get your heart rate (pulse) per minute.

Pulse Mini Speaker

Count your pulse: _____ beats in 10 seconds x 6 = _____ beats/minute

What is a normal pulse?

Normal heart rates at rest:

  • Children (ages 6 - 15) 70 – 100 beats per minute
  • Adults (age 18 and over) 60 – 100 beats per minute

Test Details

What is maximum heart rate?

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The maximum heart rate is the highest heart rate achieved during maximal exercise. One simple method to calculate your predicted maximum heart rate, uses this formula:

220 - your age = predicted maximum heart rate

Example: a 40-year-old's predicted maximum heart rate is 180 beats/minute.

There are other formulas that take into account the variations in maximal heart rate with age and gender. If you are interested in learning more about these more accurate but slightly more complicated formulas please see these resources:

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  • Gellish RL, Goslin BR, Olson RE, McDonald A, Russi GD, Moudgil VK. Longitudinal modeling of the relationship between age and maximal heart rate. Med Sci Sports Exerc. 2007 May;39(5):822-9. www.ncbi.nlm.nih.gov/pubmed/17468581
  • Gulati M, Shaw LJ, Thisted RA, Black HR, Bairey Merz CN, Arnsdorf MF. Heart rate response to exercise stress testing in asymptomatic women: the st. James women take heart project. Circulation. 2010 Jul 13;122(2):130-7. Epub 2010 Jun 28. www.ncbi.nlm.nih.gov/pubmed/20585008
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Your actual maximum heart rate is most accurately determined by a medically supervised maximal graded exercise test.

Please note that some medications and medical conditions may affect your heart rate. If you are taking medications or have a medical condition (such as heart disease, high blood pressure or diabetes), always ask your doctor if your maximum heart rate/target heart rate will be affected. If so, your heart rate ranges for exercise should be prescribed by your doctor or an exercise specialist.

What is target heart rate?

  • You gain the most benefits and lessen the risks when you exercise in your target heart rate zone. Usually this is when your exercise heart rate (pulse) is 60 to 80% of your maximum heart rate. In some cases, your health care provider may decrease your target heart rate zone to begin with 50% .
  • In some cases, High Intensity Interval Training (HIIT) may be beneficial. This should be discussed with a healthcare professional before beginning. With HIIT exercise, heart rates zones may exceed 85%.
  • Always check with your healthcare provider before starting an exercise program. Your provider can help you find a program and target heart rate zone that matches your needs, goals and physical condition.
  • When beginning an exercise program, you may need to gradually build up to a level that's within your target heart rate zone, especially if you haven't exercised regularly before. If the exercise feels too hard, slow down. You will reduce your risk of injury and enjoy the exercise more if you don't try to over-do it!
  • To find out if you are exercising in your target zone (between 60 and 80% of your maximum heart rate), stop exercising and check your 10-second pulse. If your pulse is below your target zone (see below), increase your rate of exercise. If your pulse is above your target zone, decrease your rate of exercise.

What is your target zone?

Target Heart Rate Zones by Age *

  • Age: 20
    • Target Heart Rate (HR) Zone (60-85%): ** 120 – 170
    • Predicted Maximum HR: 200
  • Age: 25
    • Target Heart Rate (HR) Zone (60-85%): 117 – 166
    • Predicted Maximum HR: 195
  • Age: 30
    • Target Heart Rate (HR) Zone (60-85%): 114 – 162
    • Predicted Maximum HR: 190
  • Age:35
    • Target Heart Rate (HR) Zone (60-85%): ** 111 – 157
    • Predicted Maximum HR: 185
  • Age: 40
    • Target Heart Rate (HR) Zone (60-85%): 108 – 153
    • Predicted Maximum HR: 180
  • Age: 45
    • Target Heart Rate (HR) Zone (60-85%): 105 – 149
    • Predicted Maximum HR: 175
  • Age: 50
    • Target Heart Rate (HR) Zone (60-85%): 102 – 145
    • Predicted Maximum HR: 170
  • Age:55
    • Target Heart Rate (HR) Zone (60-85%): 99 – 140
    • Predicted Maximum HR: 165
  • Age:60
    • Target Heart Rate (HR) Zone (60-85%): 96 – 136
    • Predicted Maximum HR: 160
  • Age:65
    • Target Heart Rate (HR) Zone (60-85%): 93 – 132
    • Predicted Maximum HR: 155
  • Age:70
    • Target Heart Rate (HR) Zone (60-85%): 90 – 123
    • Predicted Maximum HR: 150

Your Actual Values (Actual Values are determined from a graded exercise test)

  • Target HR
  • Max. HR

* This chart is based on the formula: 220 - your age = predicted maximum heart rate.

Resources

For more information about exercise

  • Exercise for Your Heart Health.
  • Exercise: Make Your Program a Success.
  • To make an appointment with an exercise specialist or to join a cardiac rehabilitation program, contact the Cleveland Clinic Preventive Cardiology and Rehabilitation Program at 216.444.9353 or 800.223.2273, ext. 9353
  • To find a cardiac rehabilitation program in your area, contact the American Association of Cardiopulmonary Rehabilitation.
  • American Heart Association.
  • National Heart, Lung, and Blood Institute.