pulse rhythm

A pulse check is an auxiliary test used to check if the pulse is normal. The rhythm of normal pulse is regular. However, in normal children, young people and some adults, respiratory sinus arrhythmia can occur, which is characterized by increased pulse during inhalation and slowing down during exhalation. A variety of arrhythmia, such as too fast, too slow or irregular in the heart rhythm, can also be reflected in the pulse. For example, when the pre-systolic contraction is a double or triple law, there may be a certain regularity of the whole vein. Pulse leak can occur when incomplete atrioventricular block, and auscultation can occur at the same time. This can be distinguished from a short pulse. Through this examination, the lesion and the corresponding symptoms can be judged. Basic Information Specialist Category: Respiratory Examination Category: Physical Examination Applicable gender: whether men and women apply fasting: not fasting Reminder: During the examination, the patient actively cooperates with the doctor. It is not suitable for strenuous exercise one hour before the examination. It is not appropriate to be overly nervous during the examination, so as not to affect the result. Normal value Normal children, adolescents and some adults can see sinus arrhythmia, that is, the pulse increases when inhaling, and slows when exhaling, so the pulse is slightly irregular. However, under normal circumstances, the pulse is neat, and if the irregularity is not normal, the pulse is not normal. Clinical significance Abnormal result The irregularity of the pulse can be pathological or physiological. (1) Physiological: Normal children, adolescents and some adults can see sinus arrhythmia, that is, the pulse increases when inhaling, and slows when exhaling, so the pulse is slightly irregular. This change has no clinical significance. (2) Pathological: In the occurrence of various arrhythmias, the irregularity of the pulse is of great significance. Such as atrial fibrillation and pulse pulsation that occurs when premature beats, the second law, the triple law formed during premature beats, etc., all of which may have irregular pulse. At the second degree of atrioventricular block, the atrial activation can not be transmitted to the ventricle, causing the heartbeat to leak, the pulse also falls off, and the pulse is irregular, called the dropped pulse, which is fundamentally different from the short pulse. . Regular physical examination items for people who need to be examined, abnormal blood vessels. Low results may be diseases: attention to arrhythmogenic right ventricular cardiomyopathy in children Forbidden before examination: Maintain a normal diet and schedule. Requirements for examination: The patient actively cooperates with the doctor during the examination. It is not suitable for strenuous exercise one hour before the examination. It is not appropriate to be overly stressed during the examination, so as not to affect the result. Inspection process 1. The pulse test mainly uses palpation method, and the bedside monitor can also continuously display and record the pulse beat condition, and directly observe the pulse frequency change. 2. When checking the pulse, you must choose a superficial artery, usually with a radial artery. In special cases, the radial, carotid, radial, femoral, and dorsal arteries can also be examined. 3. The examiner's fingers are put together, and the index finger, middle finger and ring finger are placed flat on the wrist near the wrist, and the pulse beat is carefully felt. 4. Both sides must be palpated for comparison. The difference between the two sides of the normal person is small and difficult to detect. In some diseases, there is a significant difference in pulse on both sides. The pulse on both sides is not strong, or there is no pulse on one side. Not suitable for the crowd Inappropriate people: severe blood vessels and heart failure.