Vital Signs  >  Taking a Pulse

What to Do

There are abnormal conditions that affect a person’s heart rate. Know these conditions so that you can be alert for them when you take a person’s pulse.

  • When a person is not getting enough oxygen to breathe, the heart rate rises. People with asthma and chronic lung disease such as bronchitis and emphysema normally have a faster heart rate.
  • Persons who are having a heart attack or a disturbance in the rhythm of heartbeats, have a dysrhythmia [disrith´mē ə]. You will feel the pulse as weaker, irregular, and it may have a faster or slower rate than normal. When a new dysrhythmia develops, and the person is not in distress, call the doctor.

If the person is in distress (such as having chest pain) and you feel an irregular pulse call 911.


Some persons have dysrhythmias that are chronic and you can feel all the time. Atrial flutter, atrial fibrillation, and mitral valve prolapse are examples of such conditions. In these cases, know what the person’s dysrhythmia feels like. If you note a change, call the doctor.

Remember: An abnormally slow, rapid, weaker, or irregular pulse means the heart has become a less effective pump and circulation of blood to the parts of the body will be affected.