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Updated: Feb 16, 2026
05:51
Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
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Carotid vs Radial Pulse Counts.
The Physician and Sportsmedicine
|January 2, 2018
Summary
Carotid pulse counting is a common method for monitoring exercise intensity. This study found that while generally safe for healthy adults, it may underestimate heart rates in some individuals, suggesting specific usage guidelines.
Area of Science:
- Exercise Physiology
- Cardiovascular Monitoring
Background:
- Carotid pulse counting is a widely adopted method for assessing exercise intensity.
- Concerns exist that carotid pulse palpation may trigger the carotid sinus reflex, potentially underestimating postexercise heart rates.
Purpose of the Study:
- To compare pulse rates obtained via carotid palpation, radial palpation, and electrocardiography (ECG) in healthy adults.
- To evaluate the accuracy and safety of carotid pulse counting for exercise intensity monitoring.
Main Methods:
- Twenty asymptomatic adult participants underwent simultaneous monitoring of heart rate using carotid pulse counts, radial pulse counts, and ECG.
- Data were collected to compare the different methods of heart rate measurement.
Main Results:
- Carotid pulse counts were found to be a safe method for many healthy adults to monitor exercise intensity.
- However, at least one participant exhibited lower heart rate counts when using carotid palpation compared to other methods.
Conclusions:
- Carotid pulse counting can be safely utilized by a majority of healthy individuals for exercise monitoring.
- Recommendations for accurate use include proper technique, regular comparison with radial pulse counts, and exercising within the lower target heart rate zones.
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