Medication (many drugs can affect the pulse, including beta-blockers and digoxin).Īrterial pulses can be examined at various sites around the body.Lifestyle and occupation (the fit and trained athletes have very low pulse rates).Past medical history (particularly of thyroid, cardiovascular and cerebrovascular disease).Age (affects the likelihood of atherosclerosis).There are many symptoms which may be relevant however, some examples include: HistoryĪs with all clinical examination, there are aspects of the history which are particularly relevant to abnormalities in the pulse. It is important to develop a reliable routine for examining the pulse and to refine and improve the technique throughout a career. Still today, thorough examination of the pulse can provide a lot of information and help form an accurate diagnosis. Historically, in the Middle or Far East, doctors were expected to make many diagnoses on examination of the radial pulse alone. Such routine examination can reveal an unexpected and timely diagnosis. Systematic cardiovascular examination can provide a diagnosis quickly without need for invasive or expensive tests. It is very easy to overlook the art of clinical examination when new technology can so easily be employed to make diagnoses.
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