CLINICAL DIAGNOSTIC MANUAL
An elevated pulse volume, also known as a bounding or hyperdynamic pulse, refers to a pulse that feels strong and full when palpating the arteries. This phenomenon may indicate an increased amount of blood being pumped by the heart with each beat or a decrease in peripheral resistance.
Identifying the underlying cause of an elevated pulse volume is essential for the proper diagnosis and treatment of associated medical conditions.
Pathology | Suspected Diagnosis | Confirmatory Diagnosis |
|---|---|---|
Aortic insufficiency | Bounding pulse, diastolic murmur, dyspnoea, fatigue. | Echocardiogram, chest X-ray. |
Arteriosclerosis | Strong, stiff pulse, hypertension, peripheral arterial disease. | Echocardiogram, arterial Doppler ultrasound, blood lipid analysis. |
Severe anaemia | Rapid and strong pulse, fatigue, pallor, dyspnoea. | Complete blood count, iron and ferritin levels. |
Bradycardia | Slow and strong pulse, dizziness, fatigue, syncope. | Electrocardiogram (ECG), Holter monitor. |
Hyperkinetic circulation | Bounding and rapid pulse, tachycardia, dyspnoea, palpitations. | Blood tests (including thyroid function), echocardiogram. |
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