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Frequently Asked Questions

What is the purpose of taking an apical pulse?

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. This method is very popular for use on children when it comes to measuring their cardiac output.

How do you take an apical pulse?

The apical pulse can be taken by touch or by using a stethoscope. It can be very difficult to feel an apical pulse, especially in women where breast tissue may lie over the pulse. A stethoscope may be easier for this purpose. In most people, it's almost impossible to feel an apical pulse using just your fingers.

What does a faster than usual apical pulse indicate?

A faster than usual apical pulse may indicate certain conditions such as heart disease or an overactive thyroid. Some medications — such as beta-blockers or antidysrhythmic drugs — may lower your apical pulse rate. Read on to learn more about the apical pulse, how doctors measure it, and what it can tell you.

How is the apical pulse measured?

A stethoscope is used to measure the apical pulse. A clock or wristwatch with seconds is also needed. The apical pulse is best assessed when you are either sitting or lying down. Your doctor will use a series of “landmarks” on your body to identify what’s called the point of maximal impulse (PMI). These landmarks include:


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