What Is the Apical Pulse?
The apical pulse is the heartbeat heard by placing a stethoscope over the apex of the heart, located on the left side of the chest. Unlike the pulse felt at the wrist or neck, the apical pulse directly reflects the heart’s contractions and is considered one of the most accurate ways to measure heart rate.
Healthcare providers commonly assess the apical pulse in infants, young children, and adults with certain heart conditions or those taking medications that affect heart rate.
Why the Apical Pulse Matters
Measuring the apical pulse helps healthcare providers evaluate heart rate, rhythm, and overall cardiac function. It is especially useful when an irregular heartbeat is suspected or before administering certain heart medications.
Reasons the Apical Pulse Is Measured
- Monitoring heart rate
- Assessing heart rhythm
- Evaluating irregular heartbeats
- Before administering certain cardiac medications
- Assessing infants and young children
- Monitoring individuals with cardiovascular disease
How Is the Apical Pulse Measured?
- A stethoscope is placed over the apex of the heart.
- The heartbeat is counted for one full minute.
- The rate, rhythm, and strength of the heartbeat are assessed.
- The findings are documented and compared with previous measurements when appropriate.
How Home Care Can Help
Skilled home care nurses may monitor the apical pulse as part of routine cardiac assessments, observe for changes in heart rhythm, monitor medication effectiveness, educate individuals about heart health, and report abnormal findings to healthcare providers.
Home Care Tip
If you take medications that affect your heart rate, such as digoxin or certain beta-blockers, follow your healthcare provider’s instructions regarding pulse monitoring and medication administration.
Frequently Asked Questions About the Apical Pulse
What is the difference between the apical pulse and the radial pulse?
The apical pulse is heard directly over the heart using a stethoscope, while the radial pulse is felt at the wrist.
Why is the apical pulse counted for a full minute?
Counting for one minute provides the most accurate measurement, especially if the heart rhythm is irregular.
Can home care nurses check the apical pulse?
Yes. Skilled nurses routinely assess the apical pulse when monitoring cardiovascular health or certain medications.
When to Contact Your Healthcare Provider
Contact your healthcare provider if you notice a very fast, very slow, or irregular heartbeat, or if you experience chest pain, dizziness, fainting, or shortness of breath.