Q.Why can you feel a pulse when you keep a finger on the wrist or neck but not when you keep them on a vein?
A pulse is the pressure wave from ventricular systole, felt in arteries; by the time blood reaches a vein, that pressure wave has already been smoothed out.
Step 1. Each ventricular systole sends a fresh pressure wave (the pulse) rippling through the arterial system, which is strongest in arteries close to the heart and only gradually weakens further away.
Step 2. Superficial arteries, like the radial artery at the wrist and the carotid artery in the neck, run close enough to the skin surface that this pulsatile pressure wave can be felt by pressing a finger against them.
Step 3. By the time blood has travelled through the fine capillary network of a tissue, the sharp pressure surge generated by each heartbeat has already been smoothed out into a slow, steady, low-pressure flow by the resistance of the huge combined capillary surface area.
Step 4. Veins carry this already-smoothed, low-pressure, non-pulsatile flow back to the heart, so pressing on a vein does not produce a palpable pulse the way pressing on an artery does.
Arteries carry the pulsatile, high-pressure wave generated directly by each ventricular systole, which is palpable; by the time blood reaches the veins (after passing through the capillary bed), that pressure wave has been smoothed away, so there is no pulse to feel.
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