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A bounding pulse is a strong and forceful pulse.

See also: Heart palpitations

• A bounding pulse can often be seen in arteries that are close to the skin.
• A bounding pulse is often a sign of excessive fluid in the circulation (fluid overload).
• A rapid heart rate and bounding pulse can occur together, but can also occur separately.
• A rapid pulse can be a symptom of arrhythmia. Tachycardia, a heart rate that is faster than normal, may accompany a bounding pulse.

• A rapid heart rate and bounding pulse both occur normally with heavy exercise, pregnancy, fever, or high anxiety.
• A bounding pulse is often associated with high blood pressure or fluid overload. Fluid overload can occur with heart failure, aortic valve regurgitation, chronic kidney failure, and other conditions.

Call your health care provider if you experience a sudden, severe, or persistent increase in the intensity or rate of your pulse. This is particularly important when this increase is accompanied by other symptoms, or when it is not relieved by resting for a few minutes.

Your health care provider will perform a physical examination that includes monitoring your temperature, pulse, rate of breathing, and blood pressure. Your heart may also need to be monitored.

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 present continuously, or only from time to time?
• Does it occur only when other symptoms (such as palpitations) are also present?
• Are you pregnant?
• Have you had a fever?
• Have you been very anxious or stressed?
• Do you have known high blood pressure or congestive heart failure?
• Do you have kidney failure?
• Do you have valvular heart disease (disease of your heart valves)?
• Does it get better if you rest?
• What other symptoms are present?

The following diagnostic tests may be performed:

• Blood studies (CBC or blood count)
• ECG (electrocardiogram)
• Echocardiogram
• X-rays of the chest

Bounding pulse

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc..