How to Check Your Pulse for Arrhythmia
Use either of these spots:
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Wrist (Radial Pulse) – easiest and most common
-
Neck (Carotid Pulse) – stronger, but press lightly
Step-by-Step: Checking Pulse at the Wrist
1. Position your fingers
-
Use your index and middle finger.
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Place them on the thumb side of your opposite wrist, just below the base of the thumb.
2. Press gently
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Press lightly until you feel the pulse.
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Do not use your thumb—it has its own pulse and can confuse you.
3. Count the beats
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Use a clock or phone timer.
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Count the beats for 30 seconds, then multiply by 2 to get your heart rate per minute (bpm).
(Or count for 60 seconds for more accuracy.)
4. Observe the rhythm
This step is crucial for detecting arrhythmia.
Ask yourself:
Is the beat regular or irregular?
A normal pulse feels like:
“Lub-dub… lub-dub… evenly spaced.”
Possible arrhythmia signs include:
-
Beats that come too early
-
Beats that feel extra strong
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A pulse that is slow and irregular
Checking Pulse at the Neck (Optional)
-
Place your index and middle finger beside your windpipe.
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Press very gently—too much pressure can make you dizzy.
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Count beats and check rhythm the same way.
What an Irregular Pulse May Feel Like
You might notice:
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Skipped beat: “thump… pause… thump-thump”
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Fluttering: rapid, light vibrations
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Fast and uneven: no steady gap between beats
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Occasional heavy beat after a weak one
When an Irregular Pulse Is Concerning
Seek medical attention if you notice:
🚩 Persistent irregular rhythm
🚩 Heart rate above 100 or below 50 (unless athletic)
🚩 Dizziness, fainting, fatigue
🚩 Shortness of breath
🚩 Chest pain or pressure (emergency)
Accuracy Tips
-
Check your pulse when relaxed — not after exercise or stress.
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Take multiple readings (morning and evening).
-
Use a blood pressure machine or wearable heart monitor for more accurate rhythm tracking.
Next Step if You Suspect Arrhythmia
Ask your doctor about:
-
Holter monitor (24–48 hrs)
-
Wearable patch monitor (7–14 days)
These tests confirm arrhythmia far better than pulse checking alone.
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