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18 Possible Causes for Bounding Pulse, Water Hammer Pulse

  • Aortic Valve Insufficiency

    The "water-hammer" pulse is known as Corrigan's sign, while De Musset's sign describes a specific bobbing motion of the head with each cardiac cycle.[symptoma.com] It is accompanied by systolic hypertension and wide pulse pressure, which account for peripheral physical findings, such as bounding pulses.[ncbi.nlm.nih.gov] Additionally, a low diastolic blood pressure, with a high pulse amplitude and water hammer pulse (collapsing pulse) , as well as the Musset sign and the Müller sign, can be[lecturio.com]

  • Acute Aortic Regurgitation

    High pulse pressure Water hammer pulse of peripheral arteries characterized by rapid upstroke and downstroke Pulsing of carotid arteries with rapid upstroke and downstroke[amboss.com] The left lower chamber of the heart widens (dilates) and the heart beats very strongly ( bounding pulse ).[medlineplus.gov] This is the one with the widened pulse pressure, bounding pulses, de Musset's sign, etc.[forums.studentdoctor.net]

  • Congenital Aortic Insufficiency

    High pulse pressure Water hammer pulse of peripheral arteries characterized by rapid upstroke and downstroke Pulsing of carotid arteries with rapid upstroke and downstroke[amboss.com] This leads to a strong and forceful pulse (bounding pulse). Over time, the heart becomes less able to pump blood to the body.[wexnermedical.osu.edu] The left lower chamber of the heart widens (dilates) and the heart beats very strongly ( bounding pulse ).[medlineplus.gov]

  • Patent Ductus Arteriosus

    If the PDA is moderate or large, widened pulse pressure and bounding peripheral pulses are frequently present, reflecting increased left ventricular stroke volume and diastolic[en.wikipedia.org] In that case, typically, precordial activity is increased and peripheral pulses are bounding.[emedicine.medscape.com] Examination  Physical underdevelopment  Wide pulse pressure – bounding peripheral pulses  Hyperkinetic apex, continuous thrill in 2nd lt ICS  Continous murmur 5.  Accentuated[slideshare.net]

  • Graves Disease

    […] sweating, apprehension, weakness, elevated protein-bound iodine level, tremor, diarrhoea, vomiting, eyelid retraction, and stare.[whonamedit.com] The symptoms include cardiac arrhythmias, increased pulse rate, weight loss in the presence of increased appetite, intolerance to heat, elevated basal metabolism rate, profuse[whonamedit.com]

  • Hyperthyroidism

    Obstetrical & Gynecological Survey. 66(6):378-385, JUN 2011 DOI: 10.1097/OGX.0b013e31822c6388, PMID: 21851752 Issn Print: 0029-7828 Publication Date: 2011/06/01 Checking for direct PDF access through Ovid Abstract Uncontrolled hyperthyroidism in pregnancy is associated with an increased risk of perinatal complications.[…][doi.org]

  • Thyroid Crisis

    HR: tachycardia disproportionate to the degree of fever RR: 20 breaths/ min Temperature 102.2 F can be higher Neurologic Agitated Tremulous Delirious coma Cardiovascular Bounding[rnpedia.com] pulses Systolic murmur Widening pulse Weak thready pulses Pulmonary Tachycardia Crackles may be present Gastrointestinal Increased bowel sounds Endocrine Thyroid may be enlarged[rnpedia.com]

  • Syphilitic Aortitis

    Peripheral pulses in water hammer. Without edema. On cardiac auscultation presented holodiastolic blow in all outbreaks, predominantly in the aortic area.[rbccv.org.br] Signs of syphilitic aortitis are substernal pain, dyspnea, bounding pulse, and high systolic blood pressure.[medical-dictionary.thefreedictionary.com]

  • Digoxin

    According to Withering, digitalis was believed to slow heart rate in patients with irregular pulse and result in diuresis.[doi.org] Mechanism of Action Digoxin’s primary mechanism of action is the ability to inhibit membrane-bound alpha subunits of sodium-potassium ATPase (sodium pump), mainly but not[doi.org]

  • Hypovolemic Shock

    pulses, flushed skin, and flash- capillary refill) • The vasoactive medication of choice for fluid refractory “warm” shock is norepinephrine.[slideshare.net] […] rate Common locations are the wrist (radial artery), elbow crease (brachial artery) or neck (carotid artery) Assess the pulse character : is it strong and bounding or thready[firstaidforfree.com] […] rate (compensation for metabolic acidosis) • There may be an increased work of breathing if the patient is developing ARDS • Circulatory: • Tachycardia (earliest sign) • bounding[slideshare.net]

Further symptoms