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There are various pulse sites on the body: the carotid, brachial, radial, femoral, and dorsalis pedis. In children, heart rate is preferably taken apically. To count the rate, place stethoscope on the anterior chest at the fifth intercostal space in a midclavicular position. [18] Each "lub-dub" sound is one beat.
The pulse may vary due to exercise, fitness level, disease, emotions, and medications. [11] The pulse also varies with age. A newborn can have a heart rate of 100–160 bpm, an infant (0–5 months old) a heart rate of 90–150 bpm, and a toddler (6–12 months old) a heart rate of 80–140 bpm. [12]
For healthy people, the Target Heart Rate (THR) or Training Heart Rate Range (THRR) is a desired range of heart rate reached during aerobic exercise which enables one's heart and lungs to receive the most benefit from a workout. This theoretical range varies based mostly on age; however, a person's physical condition, sex, and previous training ...
Some studies measure exercise intensity by having subjects perform exercise trials to determine peak power output, [4] which may be measured in watts, heart rate, or average cadence (cycling). This approach attempts to gauge overall workload. An informal method to determine optimal exercise intensity is the talk test.
[citation needed] The heart rate formula most often used for the Bruce is the Karvonen formula (below). A more accurate formula, offered in a study published in the journal, Medicine & Science in Sports & Exercise, is 206.9 - (0.67 x age) which can also be used to more accurately determine VO2 Max, but may produce significantly different results.
Trained endurance athletes can have resting heart rates as low as a reported 28 beats per minute (Miguel Indurain) or 32 beats per minute (Lance Armstrong), [5] both of whom were professional cyclists at the highest level. Aerobic conditioning makes the heart and lungs pump blood more efficiently, delivering more oxygen to muscles and organs. [6]
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This type of exercise also increases both heart rate and stroke volume of the heart. Both static and dynamic exercises involve the thickening of the left ventricular wall due to increased cardiac output, which leads to physiologic hypertrophy of the heart. Once athletes stop training, the heart returns to its normal size. [10] [11]