These two numbers should be the same, which means that a normal apical-radial pulse is zero. However, when the two numbers are different, it is called a pulse deficit. A pulse deficit can indicate a heart condition called atrial fibrillation (A-fib).
Why would there be a pulse deficit?
What is Pulse Deficit? Pulse deficit occurs when the heart is contracting and the pulse is not reaching the periphery. Pulse deficit can be dangerous if not treated properly, this is especially true if heart conditions run in your family.
How do you assess a pulse deficit?
Assess for factors that suggest a possible pulse deficit: an irregular heart rate and signs and symptoms of decreased cardiac output, such as dyspnea, fatigue, chest pain, orthopnea, dizziness or syncope, palpitations, edema of dependent body parts, and cyanosis or pallor of the skin.
