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</noscript></div><div class="main"><div id="ency_summary"><p>A bounding <a test="test" href="./003399.htm">pulse</a> is a strong throbbing felt over one of the arteries in the body. It is due to a forceful heartbeat.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>A bounding pulse and rapid heart rate may both occur in the following conditions or events:</p><ul><li>Abnormal or rapid heart rhythms</li><li><a test="test" href="./000560.htm">Anemia</a></li><li>Anxiety</li><li>Long-term (chronic) kidney disease</li><li>Fever</li><li>Heart failure</li><li>Heart valve problem called <a test="test" href="./000179.htm">aortic regurgitation</a></li><li>Heavy exercise</li><li>Overactive thyroid (<a test="test" href="./000356.htm">hyperthyroidism</a>)</li><li>Pregnancy, because of increased fluid and blood in the body</li><li>Use of caffeine or other stimulants</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Contact your health care provider if the intensity or rate of your pulse increases suddenly and does not go away. This is very important when:</p><ul><li>You have other symptoms along with increased pulse, such as chest pain, shortness of breath, feeling faint, or loss of consciousness.</li><li>The change in your pulse does not go away when you rest for a few minutes.</li><li>You already have been diagnosed with a heart problem. </li></ul><img title="Taking your carotid pulse" alt="Taking your carotid pulse" src="//medlineplus.gov/ency/images/ency/fullsize/19386.jpg" class="img-e" itemprop="image"/></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at Your Office Visit</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>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. </p><p>Your provider will ask questions such as:</p><ul><li>Is this the first time you have felt a bounding pulse?</li><li>Did it develop suddenly or gradually? Is it always present, or does it come and go?</li><li>Does it only happen along with other symptoms, such as palpitations? What other symptoms do you have?</li><li>Does it get better if you rest?</li><li>Are you pregnant?</li><li>Have you had a fever?</li><li>Have you been very anxious or stressed?</li><li>Do you have other heart problems, such as heart valve disease, high blood pressure, or congestive heart failure?</li><li>Do you have kidney disease?</li><li>Do you consume stimulants such as caffeine or cold medicine or drugs such as amphetamines or cocaine?</li></ul><p>The following diagnostic tests may be performed:</p><ul><li>Blood studies (<a test="test" href="./003642.htm">CBC</a> or <a test="test" href="./003657.htm">blood count</a>), <a test="test" href="./003462.htm">basic metabolic panel</a></li><li><a test="test" href="./003804.htm">Chest x-ray</a></li><li><a test="test" href="./003868.htm">Electrocardiogram</a> (ECG)</li><li><a test="test" href="./003869.htm">Echocardiogram</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Bounding pulse</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19386t.jpg" alt="Taking your carotid pulse" title="Taking your carotid pulse" class="side-img"/><a href="../imagepages/19386.htm">Taking your carotid pulse</a></li>
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</div></div><div class="section-body" id="section-Ref"><p>Fang JC, O'Gara PT. History and physical examination: an evidence-based approach. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. <em>Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine</em>. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 13.</p><p>Japp AG, Din JN, Robson JMJ. The cardiovascular system. In: Dover AR, Innes JA, Fairhurst K, eds. <em>Macleod's Clinical Examination</em>. 15th ed. Philadelphia, PA: Elsevier; 2024:chap 4.</p><p>McGrath JL, Bachmann DJ. Vital signs measurement. In: Roberts JR, Custalow CB, Thomsen TW, eds. <em>Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care</em>. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 1.</p></div></div></section>
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<div id="section-version" class="section-body"><p>Updated by: Frank D. Brodkey, MD, FCCM, Associate Professor, Section of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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