Should pulses ever show a deficit???

Would the apical pulse ever be less than the radial??

Pulses should not typically show a deficit. A pulse deficit occurs when there is a difference between the apical pulse and the radial pulse. The apical pulse is the heartbeat heard at the apex of the heart using a stethoscope, while the radial pulse can be felt at the wrist. Under normal circumstances, the apical pulse and the radial pulse should be in sync, meaning they should have the same rate and rhythm.

However, there are certain situations where a pulse deficit can occur. One possible cause is an irregular heart rhythm, such as atrial fibrillation, where the heart beats irregularly and may not effectively pump blood to the peripheral arteries. In this case, you might experience a slow or weak apical pulse but still feel a normal or faster radial pulse.

To determine if there is a pulse deficit, you would need to compare the apical pulse and the radial pulse simultaneously. You can do this by having one healthcare provider listen to the apical pulse with a stethoscope while another provider checks the radial pulse. The two providers can then compare the rates and rhythms of the two pulses. If there is a difference, it suggests a pulse deficit.

If you ever suspect a pulse deficit, it is important to consult a healthcare professional, as it may indicate an underlying cardiovascular condition that needs medical attention.