How to Find the Brachial Artery for Blood Pressure Measurement: 4 Steps for Accurate Pulse Palpation

Are you looking for a way to palpate your brachial pulse to monitor your health at home? With just a few simple steps, you can easily pinpoint the exact location of the brachial artery in the antecubital fossa. This skill not only helps you measure blood pressure accurately but also assists in quickly checking your heart rate, contributing to cardiovascular health for your whole family.

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Do you want to learn how to take a pulse but can't feel a beat on your wrist or don't know where the pulse is located? In fact, according to cardiac organizations, a healthy adult's resting heart rate typically ranges from 60–100 beats per minute. Regularly checking your pulse can help detect early signs of cardiovascular issues, blood pressure problems, and circulation abnormalities.

One of the easiest places to check is the brachial pulse – a pulse commonly used when measuring blood pressure and especially useful for checking the heart rate in newborns. However, many people have difficulty accurately locating the brachial artery or don't know how to feel the pulse correctly.

In this article, Tiptory will guide you on how to take a brachial pulse, how to locate the brachial artery, and important notes to help you check your heart rate quickly and accurately at home. This is a simple yet very useful skill for monitoring your own and your family's cardiovascular health.

How to locate the brachial pulse

Where is the brachial pulse located?

The brachial pulse is the beat of the brachial artery, commonly used when measuring blood pressure or checking heart rate. This location is on the inside of the upper arm, just above the elbow crease.

  • The brachial artery runs along the inner side of the arm.
  • The easiest area to feel the pulse is above the antecubital fossa (the hollow area at the front of the elbow).
  • This is the location commonly used by medical professionals to listen to blood pressure with a stethoscope.

How to find the brachial pulse location

To accurately perform how to take a brachial pulse, you can follow these steps:

  1. Relax your arm and slightly extend your elbow.
  2. Identify the crease on the front of your elbow.
  3. Place your index and middle fingers just above this crease.
  4. Gently move your fingertips inward on your arm, beneath the biceps muscle.
  5. Find a small indentation or the artery's path and feel for a steady pulse.

Tips for easier pulse-taking

If you don't feel a pulse immediately, don't worry.

  • Use your index and middle fingers instead of your thumb.
  • Press gently, avoiding pressing too hard on the artery.
  • Relax your arm so muscles don't obstruct feeling the pulse.
  • Move your fingers slowly, little by little, until you feel a clear pulse.

Signs that you have found the correct pulse

When you have located the brachial artery correctly, you will feel:

  • A steady beat with each heartbeat.
  • A gentle tapping sensation under your fingertips.
  • The pulse feeling clearer when your body is at rest or relaxed.

Understanding the location of the brachial artery and the correct way to take a pulse will help you check your heart rate, support monitoring cardiovascular health, and measure blood pressure more effectively at home.

Part 1: How to locate the brachial pulse

Step 1: Correct posture for taking a brachial pulse

Positioning the arm correctly

Before performing how to take a brachial pulse, you need to position your arm in a comfortable way to easily locate the artery.

  • Extend one arm forward.
  • Rotate your arm so the inner part of the elbow faces upward.
  • Keep your shoulder and arm relaxed so the muscles are not tense.

Relaxing the elbow

The correct elbow position makes checking the pulse easier and more accurate.

  • Gently bend your elbow slightly.
  • No need to fully straighten or stiffen the arm.
  • Maintain a natural posture for normal blood flow.

Identifying the elbow crease

The elbow crease is an important landmark for finding the brachial artery.

  1. Observe the front of your elbow.
  2. Find the natural fold that appears when the arm is slightly bent.
  3. This area is also known as the antecubital fossa, commonly used for blood pressure measurement and pulse taking.

Checking accessibility to the pulse-taking site

Before placing your fingers on the artery, ensure you can easily see and touch the antecubital fossa area.

  • This area should not be covered by clothing.
  • Adequate lighting will help locate the position faster.
  • When the arm is properly relaxed, finding and feeling the pulse will be easier.

Proper posture preparation is an important step in how to take a pulse, helping you easily locate the brachial artery and feel the heart rate more accurately during home health checks.

Step 2: How to locate the brachial pulse

Positioning your fingers correctly

After identifying the antecubital fossa, begin to locate the brachial artery to check the pulse.

  1. Place your index and middle fingers on the inner side of your arm.
  2. Move your two fingers to the area just above the elbow crease.
  3. Keep your fingers lightly pressed against the skin to feel the underlying structures.

Finding the groove containing the brachial artery

The brachial artery is often located in a small groove between muscle groups on the inner side of the arm.

  • Gently move your fingertips around the area above the elbow.
  • Look for a small indentation or furrow between the biceps brachii muscle and the brachialis muscle.
  • This position is usually near the center of the antecubital fossa and is the easiest place to feel the pulse.

Using the appropriate fingers to take the pulse

Choosing the correct fingers will help to feel the pulse more accurately.

  • Use your index and middle fingers to take the pulse.
  • These two fingers have good sensitivity and can easily feel the artery's beat.
  • Avoid using your thumb as it has its own pulse, which can easily lead to confusion when counting heart rate or checking the pulse.

Observing the brachial artery

In some people, especially those with thin skin or less subcutaneous fat, the brachial artery may be visible to the naked eye.

  • Observe the inner side of the arm near the elbow.
  • You may see the path of the blood vessel or clearly feel the pulse under the skin.
  • If not visible, you can still locate the position by gently probing with your fingers.

Checking if the correct position has been found

When your fingers are correctly placed on the brachial artery, you will notice:

  • A steady and cyclical beat.
  • A gentle throbbing sensation under your fingertips.
  • The pulse becoming clearer when your body is at rest and your arm is relaxed.

Following these steps correctly will help you easily locate the artery and perform how to take a brachial pulse, measure heart rate at home, or monitor cardiovascular health more effectively.

Step 3: Feeling the brachial pulse

Keep fingers still to feel the beat

After locating the brachial artery and clearly feeling the pulse, you can start measuring your heart rate.

  • Do not move your fingers continuously after finding the right spot.
  • Maintain gentle pressure on the skin.
  • Wait a few seconds to feel the steady beats under your fingertips.

Recognizing the signs of a brachial pulse

When touching the brachial artery correctly, you will feel the pulse according to each cycle of the heart.

  • The pulse is usually gentle and regular.
  • The sensation is similar to taking a pulse at the wrist or neck.
  • Each beat corresponds to one contraction of the heart pumping blood throughout the body.

Getting used to the feeling of the pulse

If this is your first time performing how to take a pulse, recognizing the beat might be a bit challenging.

  • Relax your body and perform in a quiet environment.
  • Avoid checking your pulse immediately after strenuous activity as your heart rate may be elevated.
  • Practicing a few times will help you recognize the beat more easily.

Try taking a pulse at the neck for comparison

If you're unsure if you're feeling the brachial pulse correctly, you can check the pulse at your neck first.

  1. Place your index and middle fingers on one side of your neck, next to your windpipe.
  2. Gently find the spot with a clear pulse.
  3. Remember the sensation of each beat.
  4. Return to the brachial artery position to compare and identify it more accurately.

Notes when checking heart rate

For more accurate home heart rate measurement, please note:

  • Do not use your thumb to take the pulse.
  • Avoid pressing too hard as it can reduce the sensation of the beat.
  • Check when your body is at rest for more stable results.
  • If the pulse is hard to find, adjust your finger position little by little instead of increasing pressure.

Correctly feeling the pulse is an important step in how to take a brachial pulse, helping you monitor your heart rate, support cardiovascular health checks, and detect early abnormal changes in your body.

Step 4: Adjusting finger position when pulse is hard to feel

Increase light pressure if you can't feel the beat

In some cases, you may not feel the pulse right away the first time. This is quite common when performing how to take a brachial pulse, as the brachial artery is located relatively deep under the muscle layer.

  • Increase pressure slowly and gently.
  • Avoid pressing too hard or suddenly.
  • Keep your fingers steady for a few seconds to feel the beat more clearly.

Move your fingers to find the correct artery position

If you still can't find the pulse, adjust the position of your fingers instead of continuing to increase pressure.

  1. Move your index and middle fingers little by little around the antecubital fossa area.
  2. Focus on the area just above the elbow crease.
  3. Look for a pulsating or slight vibrating sensation under your fingertips.
  4. Once you detect a steady pulse, hold that position to check.

Recognizing appropriate pressure

A common mistake when measuring heart rate by brachial pulse is using too much force.

  • The pressure only needs to be enough to feel the artery under the skin.
  • If you press too hard, the artery can be compressed, making the pulse harder to feel.
  • Moderate pressure usually yields the most accurate results.

Avoid causing discomfort when taking a pulse

Checking the pulse should not cause pain or discomfort.

  • If you or the person being checked feels pain, reduce the pressure immediately.
  • Always perform the action gently and slowly.
  • Keep the arm relaxed to make finding the pulse easier.

Patience when practicing

The ability to locate the artery and feel the pulse will improve over time.

  • Not everyone finds the pulse on the first try.
  • Practicing multiple times helps you become familiar with the anatomical position of the brachial artery.
  • Once accustomed, taking a pulse, checking heart rate, and monitoring cardiovascular health at home will become faster and more accurate.

If you can't feel the beat, prioritize adjusting your finger position and applying gentle pressure. This is a crucial factor in correctly identifying the brachial artery and performing how to take a brachial pulse effectively.

Part 2: Guide on how to accurately count heart rate

Step 1: How to count pulse beats in 15 seconds

Counting the number of beats in 15 seconds

After locating the brachial artery and clearly feeling the pulse, you can start measuring your heart rate.

  1. Keep your index and middle fingers in place on the artery.
  2. Start a timer for 15 seconds.
  3. Count the number of pulse beats during this time.
  4. Record the result to calculate your heart rate.

Using a timing device

Accurate timing helps ensure more reliable heart rate measurement results.

  • Use a wristwatch with a second hand or a digital watch.
  • You can use the timer function on your phone.
  • Avoid estimating time while counting pulse beats, as this can easily lead to errors.

Calculating heart rate from the measurement result

After counting the number of beats in 15 seconds, convert it to the number of heart beats per minute.

  • Multiply the number of beats counted by 4.
  • For example:
    • 18 beats in 15 seconds = 72 beats/minute.
    • 20 beats in 15 seconds = 80 beats/minute.
    • 25 beats in 15 seconds = 100 beats/minute.

This is a quick and common way to check heart rate at home.

When to count for a longer duration?

If the pulse is irregular or you want a more accurate result, extend the measurement time.

  • Count for 30 seconds and then double the result.
  • Or count for a full 60 seconds to get direct data.
  • This method is especially useful when monitoring individuals with arrhythmias or irregular heartbeats.

Notes for more accurate results

Several factors can affect the results of pulse taking and heart rate measurement.

  • Rest for at least a few minutes before measuring.
  • Avoid strenuous activity, drinking coffee, or using stimulants immediately before checking.
  • Keep your body relaxed and breathe normally throughout the pulse counting process.
  • Perform the measurement multiple times if there is a significant discrepancy in results.

Counting pulse beats in 15 seconds is a simple and effective way to perform how to take a brachial pulse, helping to monitor heart rate and assess cardiovascular health right at home.

Step 2: Calculating heart rate from pulse measurement results

Multiply the result by 4 to calculate heart rate per minute

After completing the step of counting pulse beats in 15 seconds, you need to convert the result to heart rate per minute for a more accurate assessment.

  • Take the total number of beats counted in 15 seconds.
  • Multiply this result by 4.
  • The number obtained is the heart rate in beats per minute (BPM).

Why multiply by 4?

The pulse reflects the number of times the heart contracts in one minute.

  • The 15-second interval is only 1/4 of a minute.
  • Therefore, multiplying the number of beats counted by 4 will give the heart rate in 60 seconds.
  • This is a commonly used method when performing how to take a pulse and measure heart rate at home.

Example of heart rate calculation

You can apply the following simple formula:

  • Heart rate (BPM) = Number of beats counted in 15 seconds × 4

For example:

  1. Counted 16 beats in 15 seconds:
    • 16 × 4 = 64 beats/minute
  2. Counted 18 beats in 15 seconds:
    • 18 × 4 = 72 beats/minute
  3. Counted 22 beats in 15 seconds:
    • 22 × 4 = 88 beats/minute

Evaluating heart rate measurement results

After calculating the result, you can monitor changes in heart rate over time.

  • A resting heart rate for adults typically ranges from 60–100 beats/minute.
  • People who regularly exercise may have a heart rate lower than this.
  • Heart rate can temporarily increase with physical activity, stress, or strong emotions.

Notes when monitoring pulse

For more effective heart rate checks, brachial pulse taking, and cardiovascular health monitoring:

  • Measure at the same time each day if long-term monitoring is needed.
  • Record results to compare across measurements.
  • Repeat the measurement if the pulse feels irregular or difficult to count.
  • Consult a doctor if your heart rate is consistently too fast, too slow, or shows unusual signs.

Calculating heart rate from the number of beats counted in 15 seconds is the final step in how to take a brachial pulse, helping you quickly determine your heart rate and proactively monitor your health right at home.

Step 3: Measure pulse for 60 seconds for greater accuracy

Count pulse for a full 60 seconds

While the 15-second pulse count method provides a quick heart rate check, a continuous 60-second measurement will yield more accurate results.

  1. Place your index and middle fingers over the brachial artery.
  2. Prepare a watch or timer.
  3. Start counting from the first beat.
  4. Record the total number of beats within 60 seconds.

Benefits of measuring pulse for 1 minute

Measuring the pulse for a longer duration helps to more accurately assess heart activity.

  • Accurately determine the actual heart rate without conversion.
  • Easily recognize changes in pulse intensity and rhythm.
  • Reduce potential errors that may occur when counting for a short period.

Detecting abnormal heart rhythms

When performing the brachial pulse check for 60 seconds, you may notice signs that are difficult to detect with shorter measurements.

  • Irregular beats.
  • Heart rate that is sometimes fast, sometimes slow.
  • Presence of pauses between beats.
  • Sensation of skipped or extra beats.

These signs may be related to arrhythmia and require further monitoring if they occur frequently.

When should you prioritize a full 60-second measurement?

This method is particularly useful in some cases where high accuracy is required.

  • Individuals with a history of cardiovascular disease.
  • Individuals being monitored for arrhythmia.
  • Individuals who have recently experienced circulatory or blood pressure problems.
  • Cases requiring a more detailed heart rate assessment.

Tips for increasing heart rate measurement accuracy

If you don't have much time to count for a full 60 seconds, you can still improve the reliability of the results.

  1. Perform the 15-second measurement 2–3 times.
  2. Calculate the heart rate for each measurement.
  3. Add the results together.
  4. Divide by the number of measurements to get the average value.

This method helps to limit errors due to temporary heart rate changes or the counting process.

Notes during pulse taking

For the most effective home heart rate measurement:

  • Keep your body relaxed before measuring.
  • Sit or lie down for a few minutes if you have just exercised.
  • Use the same pulse point for all checks.
  • Record the results to track changes over time.

Measuring the pulse for 60 seconds is the most reliable method when performing a pulse check, helping to accurately assess heart rate, detect abnormalities early, and support more effective cardiovascular health monitoring.

Part 3: How to take an elbow pulse for infants

Step 1: Prepare the infant's position for pulse taking

Place the infant comfortably on their back

When performing a brachial pulse check on an infant, proper positioning will help locate the pulse more easily and accurately.

  • Place the infant on their back on a flat, safe surface.
  • Ensure the infant's head, neck, and body are comfortably supported.
  • Avoid changing the infant's position too much during the examination.

Position the infant's arm appropriately

Arm position directly affects the ability to find the brachial artery.

  1. Gently place one of the infant's arms along their side.
  2. Allow the arm to relax naturally.
  3. Turn the inner elbow upward to easily access the pulse area.

Identify the antecubital fossa area

The antecubital fossa is an important location for finding the brachial artery in young children.

  • Observe the crease on the front of the elbow.
  • This is the area commonly used for checking brachial pulse and measuring blood pressure.
  • Clearly seeing the elbow crease helps to locate the artery more quickly.

Choose a time when the infant is calm

To ensure high accuracy when measuring an infant's heart rate, it should be done when the infant is relaxed.

  • Preferably when the infant is sleeping or has just woken up.
  • Avoid checking when the infant is crying, fussy, or moving a lot.
  • Activities such as crying loudly, feeding, or moving can temporarily increase heart rate.

Avoid causing discomfort to the infant

During pulse taking, gentle handling is crucial.

  • Touch and hold the infant's hand gently.
  • Do not pull or rotate the arm excessively.
  • If the infant starts to fuss, wait for them to calm down before continuing the check.

Proper preparation of the position and selection of the appropriate time will make brachial pulse taking in infants, checking the baby's heart rate, and monitoring circulatory health easier, safer, and more accurate.

Step 2: How to find the brachial pulse in infants

Place two fingers on the area above the elbow

After positioning the infant correctly, you can begin to find the brachial artery to check the heart rate.

  1. Use your index and middle fingers.
  2. Place the two fingers on the inner side of the infant's arm.
  3. Locate the area just above the elbow crease.
  4. Keep your fingertips gently in contact with the skin.

Slowly move fingers to find the artery

The brachial pulse in infants is often smaller and harder to feel than in adults.

  • Gently move your fingers around the area above the antecubital fossa.
  • Adjust the position little by little instead of moving too quickly.
  • Patiently search until you feel the pulse.

Feel the infant's pulse

Once you find the correct location of the brachial artery, you will feel a pulse under your fingertips.

  • The pulse in infants is usually fainter than in adults.
  • The sensation may be very subtle, especially in small infants or those sleeping soundly.
  • Concentrate on recognizing each regular beat.

Gentle handling to avoid missing the pulse

One common mistake when performing a pulse check on an infant is using too much force.

  • Press with very light force only.
  • Do not press hard on the arm area as this can make it difficult to feel the pulse.
  • If you cannot find the pulse, change your finger position before increasing pressure.

Notes when checking the baby's heart rate

To obtain more accurate results when measuring an infant's heart rate:

  • Perform in a quiet environment.
  • Ensure the infant is relaxed and not moving much.
  • Keep your hand steady after finding the pulse.
  • Count the pulse for an appropriate amount of time to accurately calculate the heart rate.

Finding the correct artery location and feeling the pulse is a crucial step in brachial pulse taking in infants, helping parents monitor their infant's heart rate and circulatory condition more effectively.

Step 3: How to feel the pulse in infants

Press gently to feel the pulse more clearly

After identifying the brachial artery location, adjust the pressure appropriately to accurately feel the pulse.

  1. Keep your index and middle fingers steady on the identified spot.
  2. Press gently down on the infant's skin.
  3. Gradually increase pressure until a clear pulse is felt.
  4. Maintain steady pressure throughout the pulse counting process.

Use just enough pressure

Controlling the pressure is a crucial factor when performing a brachial pulse check on an infant.

  • Only create a very slight indentation on the skin.
  • Do not press too hard as this can make it difficult to feel the pulse.
  • If too much force is used, the artery may be compressed, leading to inaccurate results.

Focus entirely on the pulse

The pulse in infants is often very faint, making it easy to miss.

  • Perform in a quiet, low-noise environment.
  • Limit distracting factors.
  • Concentrate on the sensation of regular beats under your fingertips.
  • Keep your hand steady to avoid confusing it with the infant's movements.

Be patient when finding the baby's pulse

Checking an infant's heart rate is often more difficult than in adults, especially for those without experience.

  • It may take several attempts to feel a clear pulse.
  • Do not rush to change your finger position or pressure continuously.
  • Practicing multiple times will help you recognize the pulse more easily.

Consult a doctor if unsure

If you are unsure about the pulse-taking technique or appropriate pressure, consult a healthcare professional.

  • Ask your pediatrician during the infant's regular check-ups.
  • Ask the doctor to directly guide you on how to locate the brachial artery.
  • Observe the demonstration carefully to apply it more accurately at home.

Notes when monitoring the infant's heart rate

For effective infant heart rate measurement:

  • Perform when the infant is calm or sleeping.
  • Maintain a quiet environment.
  • Count the pulse for a sufficient duration to get reliable results.
  • Record the results if regular monitoring is required as per the doctor's instructions.

Using appropriate pressure and focusing on feeling the pulse will help you perform a pulse check, brachial pulse check in infants, and monitor your baby's cardiovascular health more safely and accurately.

Step 4: How to measure an infant's heart rate

Count pulse for 10–15 seconds for quick checks

In many cases, brachial pulse taking in infants is only to confirm that the baby's heart is beating regularly. However, if you want to know the specific heart rate, you need to perform a pulse count.

  1. After feeling the pulse, prepare a watch or timer.
  2. Count the number of pulse beats for about 10–15 seconds.
  3. Record the number of beats counted.
  4. Convert the result to beats per minute if needed.

Use a watch to ensure accuracy

Pulse counting time needs to be accurately tracked to limit errors.

  • Use a watch with a second hand, a digital watch, or a phone.
  • Focus on counting beats rather than estimating time.
  • Perform in a quiet environment to avoid distractions.

Convert results to heart rate per minute

After counting the number of beats, you can calculate the heart rate using a simple formula:

  • Count for 15 seconds: multiply the result by 4.
  • Count for 10 seconds: multiply the result by 6.

Example:

  • 25 beats in 10 seconds equals 150 beats/minute.
  • 30 beats in 15 seconds equals 120 beats/minute.

Measure for a longer duration to increase accuracy

If the situation is not urgent, you can extend the measurement time to get more reliable results.

  • Count the pulse for 30 seconds and then double the result.
  • Or count continuously for 60 seconds to determine the exact actual heart rate.
  • This method helps reduce errors when the heart rate changes between beats.

When to prioritize longer measurement?

Checking an infant's heart rate for a longer duration will be useful when:

  • The pulse appears irregular.
  • You find it difficult to determine the number of beats in a short time.
  • Cardiovascular health monitoring is required as per the doctor's instructions.
  • You want more accurate results to record and compare between measurements.

Notes when counting the baby's pulse

For more reliable home heart rate measurement results:

  • Perform when the infant is resting or sleeping soundly.
  • Keep your fingers steady throughout the counting process.
  • Avoid recounting a beat multiple times when the infant moves.
  • Perform another measurement if the result appears abnormal.

Counting the pulse for 10–15 seconds is a quick way to assess an infant's heart rate. Meanwhile, measuring for 30–60 seconds will help brachial pulse taking in infants achieve higher accuracy and support more effective cardiovascular health monitoring.

Step 5: How to calculate an infant's heart rate

Convert results to heart rate per minute

After completing the infant pulse count, you need to convert the results to beats per minute for easy monitoring and evaluation.

  • If counting for 10 seconds, multiply the result by 6.
  • If counting for 15 seconds, multiply the result by 4.
  • The final result will indicate the heart rate in beats per minute (BPM).

Simple heart rate calculation formula

You can apply the following formulas:

  1. Counting for 10 seconds:
    • Heart Rate (BPM) = Number of beats counted × 6
  2. Counting for 15 seconds:
    • Heart Rate (BPM) = Number of beats counted × 4

This is a common method used when performing brachial pulse taking in infants or checking heart rate at home.

Examples of calculation from measurement results

For easier understanding, you can refer to the following examples:

  • Counted 15 beats in 10 seconds:
    • 15 × 6 = 90 beats/minute
  • Counted 18 beats in 10 seconds:
    • 18 × 6 = 108 beats/minute
  • Counted 21 beats in 15 seconds:
    • 21 × 4 = 84 beats/minute
  • Counted 30 beats in 15 seconds:
    • 30 × 4 = 120 beats/minute

Why convert to 60 seconds?

Heart rate is typically expressed as the number of heartbeats per minute.

  • Helps compare results with medical reference ranges.
  • Easily track changes in heart rate over time.
  • Supports assessing the infant's circulatory status and cardiovascular health.

Increase the accuracy of measurement results

If more reliable results are needed, you can:

  • Measure 2–3 times.
  • Perform when the infant is relaxed or sleeping.
  • Calculate the average value of the measurements.
  • Count for 30 or 60 seconds instead of 10–15 seconds.

Notes when monitoring infant heart rate

When measuring a baby's heart rate, remember:

  • Heart rate can change when the infant cries, feeds, or moves.
  • Measurements should be taken under similar conditions for each check.
  • Do not be overly concerned about minor fluctuations between measurements.
  • Consult a doctor if the heart rate is consistently abnormal or there are other concerning health signs.

Converting the counted beats to beats per minute is the final step in brachial pulse taking in infants, helping parents easily monitor the infant's heart rate and assess their health more conveniently.

Normal heart rate and notes when taking pulse

Refer to normal heart rate by age

After performing a pulse check and calculating the heart rate, you can compare it with the common reference ranges below:

  • Resting adults:
    • Approximately 60–100 beats/minute.
  • Infants:
    • Approximately 70–160 beats/minute.
  • Children under 10 years old:
    • Approximately 80–110 beats/minute.

It is important to note that heart rate can vary depending on activity level, emotions, health status, and time of measurement.

What to do if heart rate is outside the normal range?

If the measurement results show an unusually high or low heart rate for the age:

  • Retake the measurement after a few minutes of rest.
  • Check if the person being measured has recently exercised, is stressed, or has used stimulants.
  • Monitor for accompanying symptoms such as dizziness, shortness of breath, chest pain, or unusual fatigue.
  • Contact a healthcare facility or consult a doctor for an accurate assessment.

Choose a quiet environment to take a pulse

The surrounding environment can affect your ability to feel the pulse.

  • Take your heart rate at home in a quiet place.
  • Limit distractions such as television, phone, or people walking by.
  • Take a few minutes to relax before checking your pulse.

A quiet environment will help you concentrate better on the pulse and reduce the risk of miscounting.

Check consciousness and breathing if a pulse cannot be found

If you cannot feel a pulse, do not immediately conclude that the heart has stopped beating.

  1. Call or speak to the person to check for a response.
  2. Observe if they open their eyes, move, or respond.
  3. Monitor chest movements to determine breathing.
  4. Check for other vital signs if you have basic first aid knowledge.

When to seek emergency medical attention?

Contact emergency services or medical personnel immediately if the person:

  • Does not respond when called or gently shaken.
  • Is not breathing or shows signs of abnormal breathing.
  • Is unconscious.
  • Shows signs indicative of a cardiac emergency.

Important notes when monitoring heart rate

To make checking heart rate, taking a pulse at the wrist, and monitoring health more effective:

  • Measure under similar conditions between checks.
  • Record results if long-term monitoring is needed.
  • Do not self-diagnose based on a single pulse measurement.
  • Combine assessment with actual symptoms and health status.

Understanding the threshold for a normal heart rate, choosing the right environment, and knowing how to handle situations where a pulse cannot be found will help you apply pulse-taking methods more effectively, while also safely monitoring your and your family's cardiovascular health.

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  11. Perry, A. G., Potter, P. A., & Ostendorf, W. R. (2021). Clinical Nursing Skills and Techniques (10th ed.). Elsevier.
  12. StatPearls Publishing. (2024). Peripheral Pulse Examination. In StatPearls. StatPearls Publishing.
  13. Tortora, G. J., & Derrickson, B. (2021). Principles of Anatomy and Physiology (16th ed.). Wiley.
  14. World Health Organization. (2023). Integrated Management of Childhood Illness: Chart Booklet. World Health Organization.

Content edited by: Ashley Wright Nguyen.

Information consulted and verified by expert: Mia Taylor.

Mia_Taylor-Tiptory
Mia Taylor Doctor, General Practitioner

Graduated from Northwestern University Feinberg School of Medicine, with over 16 years of experience in primary care and metabolic disease management. Currently working at Northwestern Memorial Hospital, prioritizing safe, evidence-based medical treatment.

Updated on Ngày 16 tháng 07 năm 2026 (GMT +7)

3 comments

Từ ngày sắm cái máy đo về, mình tự phong luôn chức “trưởng khoa tim mạch” của cả nhà 😎. Cơ mà mỗi lần bắt mạch hố khuỷu tay cho phụ huynh là một lần đổ mồ hôi hột vì tìm mãi chẳng ra, máy toàn báo lỗi. Nay có bí kíp 4 bước này rồi, để tối nay mình xuống tay thực hành lại xem cái “học hàm” tự phong này có giữ được không nha!

Dr. ErrorJun 19, 2026

Đọc bài xong mình vào thực hành ngay và luôn. Thế nào mà loay hoay ấn miết vào khuỷu tay để tìm động mạch cánh tay, mạch chưa thấy đâu mà bắp tay mình đã đỏ ửng như vừa đi tập gym về 💪. Hóa ra do mình dùng lực “gấu bẻ măng” quá đà chứ không chịu thả lỏng. Đo huyết áp thôi mà tưởng đang tập thể lực không đó trời, khổ tâm ghê!

Cơ Bắp Lực ĐiềnJun 19, 2026

Hồi trước mình tự đo huyết áp ở nhà mà cứ như đang chơi trốn tìm 🤦‍♂️. Sờ hoài không thấy mạch cánh tay đâu, cứ tưởng mình có siêu năng lực “vô mạch” cơ chứ! May đọc được bài này mới biết mình toàn ấn sai chỗ ở hố khuỷu tay. Đúng là trước giờ toàn cậy mạnh tay chứ có biết kỹ thuật gì đâu. Có ai cũng từng mò mạch mà suýt tiền đình như mình không?

Mạch Đi TrốnJun 18, 2026

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Practical knowledge

Expert Q&A

In-depth analysis and practical advice from leading experts.

You won't find the brachial pulse due to incorrect placement in the cubital fossa, pressing too lightly, or thick subcutaneous fat. To fix this, fully relax the arm, turn the palm upward, and press a bit deeper into the inner elbow crease with two fingers to clearly feel the pulse.

You can check your pulse and measure blood pressure in both arms, but medical professionals recommend prioritizing the left arm. This is because the left arm is closer to the heart, which helps the blood pressure reading more accurately reflect the pressure of blood flow. If measuring both sides, use the reading from the arm with the higher value.

The brachial artery is located on the inside of the upper arm, running down and passing through the cubital fossa (elbow crease) about 2cm medially. You just need to place your index and middle fingers in this hollow area, close to the edge of the biceps muscle, to feel the strongest pulse.

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