Pulse rates and occlusion of the coronary arteriesSpec B3.2.4, B3.2.6
In short
Pulse rate is measured by feeling the carotid or radial pulse with the fingertips and counting beats per minute. Occlusion of the coronary arteries is blockage by fatty plaque or a blood clot, which cuts the supply of oxygen to cardiac muscle and can cause a heart attack, where part of the heart muscle dies.
Measuring pulse rate
Each heartbeat sends a surge of blood along the arteries, felt as a pulse. The pulse rate equals the heart rate.
Press two fingertips (not the thumb, which has its own pulse) on the radial artery on the inside of the wrist or the carotid artery in the neck. Count beats for 30 s and multiply by 2, repeat and find the mean. Compare the result with a digital heart rate monitor or pulse oximeter.
Pulse rate
A student counts 19 beats in 15 seconds. Calculate the pulse rate. (Practice data.)
- Beats per minute = 19 × (60 ÷ 15)
- = 19 × 4 = 76
Answer: 76 beats per minute
Occlusion of the coronary arteries
The coronary arteries branch from the aorta and supply cardiac muscle with oxygen and glucose.
- Fatty deposits (atheroma or plaque) build up in the wall of a coronary artery, under the endothelium: atherosclerosis.
- The lumen narrows and the wall hardens, so blood flow is reduced.
- If a plaque ruptures, a blood clot (thrombus) can form and block the artery completely: occlusion.
- Cardiac muscle beyond the blockage gets too little oxygen for aerobic respiration, causing chest pain (angina) or, if severe, a heart attack (myocardial infarction), when part of the heart muscle dies.
Risk factors include a diet high in saturated fat, high blood cholesterol, smoking, high blood pressure, obesity, lack of exercise, increasing age, male sex and family history.
A correlation coefficient (r) from −1 to +1 measures how strongly two variables are correlated. Even a strong correlation, such as between saturated fat intake and coronary heart disease, does not prove that one causes the other; a low r or no correlation can be evidence against a hypothesis.
Written and checked against the IB Biology SL specification · Updated October 2026