![]() Other possible causes of a double apical pulse include:ĭifference between apical and radial pulse This extra pulse occurs as blood flows into the left ventricle. People who have LVH may also have an extra apical pulse. chest pain, especially during or after exerciseįactors that can contribute to LVH include:.In LVH, the heart does not pump blood as efficiently as it should, which can lead to a range of symptoms. ![]() This change results in a condition called left ventricular hypertrophy (LVH). Over time, the muscles of the left ventricular wall become thicker and less elastic. ![]() Long apical pulseĪ long apical pulse suggests that the left ventricle is working harder than normal. An abnormal apical pulse can sometimes indicate heart disease or injury. Sometimes, a doctor may discover that a person has a long apical pulse or an extra apical pulse. These hormones trigger temporary increases in heart rate, breathing rate, and blood pressure. This physiological reaction occurs in response to perceived danger.ĭuring the fight-or-flight response, the nervous system stimulates the adrenal glands, causing the release of epinephrine (also called adrenaline) and norepinephrine. Stress and anxiety trigger the body’s fight-or-flight response. Emotional triggersĪ person’s heart rate increases in response to emotional triggers, such as stress and anxiety. As a result, the blood flow reroutes to the skin, placing greater demands on the heart, and this increases the apical pulse. When a person is in a hot, humid environment, their body is less efficient at getting rid of excess body heat. When cool air surrounds a person, their body naturally radiates heat. Air temperature and humidityĮnvironmental factors, such as air temperature and humidity, also affect the apical pulse. The reason for this is that the heart must work harder to pump oxygenated blood around the body. Some factors that may affect the apical pulse include: Physical activityĪ person’s pulse increases during moderate-to-intense physical activity. The heart rate varies in response to physical, environmental, and emotional triggers.
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