apex - radial pulse deficit

Last reviewed 05/2021

  • atrial fibrillation (AF) is a common arrhythmia that can result in a rapid, irregular heart rate

    • this may cause an apex-radial pulse deficit, because each ventricular contraction may not be sufficiently strong to transmit an arterial pulse wave through the peripheral artery

      • therefore assessment of the radial pulse in isolation will not be an accurate reflection of the actual heart rate. Other causes for an apex-radial pulse deficit include atrial flutter

      • in the absence of cardiac monitoring, the assessment of the apex beat (together with the radial pulse) is an important aspect of the assessment of the patient with AF