Pulse - bounding
Bounding pulse
A bounding pulse is a strong throbbing felt over one of the arteries in the body. It is due to a forceful heartbeat.
Causes
A bounding pulse and rapid heart rate both occur in the following conditions or events:
- Abnormal or rapid heart rhythms
- Anemia
- Anxiety
- Chronic kidney disease
- Heart failure
- Heart valve problem called aortic regurgitation
- Heavy exercise
- Fever
- Pregnancy, because of increased fluid and blood in the body
- Overactive thyroid (hyperthyroidism)
When to Contact a Medical Professional
Call your health care provider if the intensity or rate of your pulse increases suddenly and does not go away. This is very important when:
- You have other symptoms along with increased pulse.
- The change in your pulse does not go away when you rest for a few minutes.
- You already have been diagnosed with a heart problem.
What to Expect at Your Office Visit
Your provider will do a physical exam that includes checking your temperature, pulse, rate of breathing, and blood pressure. Your heart and circulation will also be checked.
Your provider will ask questions such as:
- Is this the first time you have felt a bounding pulse?
- Did it develop suddenly or gradually? Is it always present, or does it come and go?
- Does it only happen along with other symptoms, such as palpitations? What other symptoms do you have?
- Does it get better if you rest?
- Are you pregnant?
- Have you had a fever?
- Have you been very anxious or stressed?
- Do you have other heart problems, such as heart valve disease, high blood pressure, or congestive heart failure?
- Do you have kidney failure?
The following diagnostic tests may be performed:
-
Blood studies (
CBC
or
blood count
)
CBC
A complete blood count (CBC) test measures the following:The number of red blood cells (RBC count)The number of white blood cells (WBC count)The tota...
Blood count
The blood differential test measures the percentage of each type of white blood cell (WBC) that you have in your blood. It also reveals if there are...
-
Chest x-ray
Chest x-ray
A chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.
-
ECG
(electrocardiogram)
ECG
An electrocardiogram (ECG) is a test that records the electrical activity of the heart.
-
Echocardiogram
Echocardiogram
An echocardiogram is a test that uses sound waves to create pictures of the heart. The picture and information it produces is more detailed than a s...
References
Fang JC, O'Gara PT. The history and physical examination. In: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine . 10th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 11.
Goldman L. Approach to the patient with possible cardiovascular disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 51.
-
Taking your carotid pulse - illustration
The carotid arteries take oxygenated blood from the heart to the brain. The pulse from the carotids may be felt on either side of the front of the neck just below the angle of the jaw. This rhythmic "beat" is caused by varying volumes of blood being pushed out of the heart toward the extremities.
Taking your carotid pulse
illustration
-
Taking your carotid pulse - illustration
The carotid arteries take oxygenated blood from the heart to the brain. The pulse from the carotids may be felt on either side of the front of the neck just below the angle of the jaw. This rhythmic "beat" is caused by varying volumes of blood being pushed out of the heart toward the extremities.
Taking your carotid pulse
illustration
Review Date: 5/17/2016
Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.