A bounding pulse and rapid heart rate both occur in the following conditions or events:

• Abnormal or rapid heart rhythms
• Anemia
• Anxiety
• Long-term (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)

A bounding pulse is a strong throbbing felt over one of the arteries in the body. It is due to a forceful heartbeat.

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)
• Chest x-ray
• ECG (electrocardiogram)
• Echocardiogram

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.