![]() Despite the availability of diagnostic equipment (e.g. For example, a pulsus celer – a rapid pulse characterized by a rapid rise and fall in pulse rate – may indicate an unstable circulation or an aortic aneurysm. Depending on the pulse characteristics, various diseases or disorders of the cardiovascular system can be inferred. The pulse rate, rhythm, amplitude (size, strength, height), pressure increase and voltage of the pulse are examined and assessed. These can provide information about the cardiovascular system. In pulse quality, various pulse characteristics are assessed. 23 In this way, for example, an inflammation of the vessels in the region of the aortic arch can be inferred, since in this case there is often an asymmetrical reduction of the pulses in the region of the upper extremities. This is done in a lateral comparison or from proximal (closer to the center of the body) to distal (further away from the center of the body). To determine the pulse status, the arterial pulses are systematically measured manually at various points on the body and compared with each other. With the help of the pulse status, direct conclusions can also be drawn about the patency of the arterial system. Among other things, it provides information about the heart rate, the heart rhythm, the systolic rate of pressure rise as well as the blood pressure and the filling volume of the vessels. 19 20 21Īlthough the pulse is a seemingly trivial physiological event, it allows conclusions to be drawn about the factors that determine it. In addition, a (too) low pulse rate can also be caused by certain medications, such as beta-blockers. heart attack, atrial fibrillation), hypothyroidism, hypothermia or potassium deficiency. Dangerous forms of bradycardia can be triggered by various heart diseases (e.g. In athletes, for example, so-called physiological sinus bradycardia (= without disease value) is harmless. 18Ī distinction is made between harmless and dangerous forms of bradycardia. Signs of a dangerously low heart rate include the following accompanying symptoms: Fatigue, dizziness, shortness of breath and/or fainting. ![]() 17 In addition, to assess whether a heart rate is too low and thus is pathological, the training condition of the heart as well as physical complaints and any heart diseases must be taken into account. However, as a population-based cohort study published in 2016 suggests, for people without cardiovascular disease, a pulse below 50 bpm does not appear to be risky unless it causes discomfort. For children, other limits apply depending on their age. When an adult’s pulse rate is less than 50 to 60 beats per minute (bpm), it is called bradycardia.
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