How can one assess whether the pulse is normal?

Question

Hi doctor,

A few days ago, I measured my 11-year-old child's blood pressure using an electronic BP monitor. I noticed the irregular heartbeat (IHB) symbol blinking after the measurement, which worried me. In the last two days, I measured his blood pressure eight more times and observed the IHB symbol approximately four out of those eight times. His average blood pressure reading is 120/77 mmHg, and his pulse rate is 98 beats per minute. Is this normal for a child of his age? We have had regular visits with our physician in the past, and he did not notice anything unusual during the earlier checkups. He was only advised to engage in more physical exercise, as his blood pressure was marginally high at 125/85 mmHg.

Please advise.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

Blood pressure is normal, although it is slightly on the higher side. There is no reason for him to experience irregular beats. Is he having any symptoms such as episodic palpitations, very rapid heartbeat, chest heaviness, or shortness of breath? If not, then it is most likely a false reading from the machine. Sometimes, the device may interpret normal variations in pulse with respiration as irregular. You can check his pulse and see if you notice any pauses, or if it is regular. You can compare it with your own pulse; an irregular pulse will be quite noticeable.

Additionally, you can have him examined by a doctor, who can assess his pulse and measure blood pressure using a device in their presence. An ECG (electrocardiogram) will also be confirmatory.

I hope this helps.

Thank you.