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Forum Name: Cardiology Symptoms

Question: Heart rate and pulse


 kkulp - Tue Feb 03, 2004 4:26 pm

Hello,
My moms "better half" has had triple bi - pass surgery and a pacemaker put in. He is 75. He has to the heart specialist next week, for his heart rate is showing faster than his pulse reads. Why is this and what causes this. I would appreciate any information as would my mom and her better halh.
 Dr. Yasser Mokhtar - Wed Feb 04, 2004 5:38 pm

User avatar Dear kkulp,

Thank you very much for using our website.

How was this found out? Was he on a monitor and his pulse being taken at the same time?

If he has a pacer and the pacer is working all the time, this should not be the case if the pacer is working 100% of the time (meaning that the heart itself is not generating any beats and is 100% dependant on the pacer for generation of the beats). If this is the case (100% dependant heart) and his heart rate (that you think the pacer is set to) is faster than the pulse, the pacer should be checked as it could mean that the pacer is not working 100% of the time.

Other causes of heart rate being faster than the pulse are conditions in which the heart generates electrical beats but not all of which are "transfromed" into mechanical beats that are perceived (by persons) as pulse. These include a condition called atrial fibrillation and "extra beats". But, these conditions are usually discovered by simultaneous monitoring of the heart rate and the pulse so that you can find out that there is a discrepancy between both the heart rate and the pulse. So, i am not really sure how your mother's better half was able to figure this out, unless was discovered by his doctor or unless he felt that he had an abnormal heart rhythm or irregular fast heart rate and as he was checking his pulse, the number of heart beats that he felt were more than the pulse that he was checking at the same time (or may be he thought this was the case).

Once more, thank you very much for using our website http://doctorslounge.com and i hope that this information helped and waiting for your response.

Yasser Mokhtar, M.D.

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