What Causes Bounding Pulse In Lower Left Neck?

Posted on Mon, 22 Aug 2016

Question: I have a very noticeable bounding pulse in my lower left neck. My physician listened to my carotid and could not hear a blockage. What is your opinion?

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Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
I would recommend performing some tests:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that it may be related to different causes:

1- Aortic valve insufficiency or regurgitation. A cardiac ultrasound is necessary to examine your heart structure and function and exclude this possibility
2- Cervical artery stenosis. Besides physical examination a Doppler ultrasound of the cervical vessels is necessary to exclude this possibility
3- Other possible metabolic causes like chronic anemia or thyroid dysfunction. some blood lab tests are needed to exclude these possibilities (a complete blood count, thyroid hormone levels, blood electrolytes).

I recommend discussing with your doctor on the above issues.

Meanwhile, I recommend you to closely monitor your blood pressure as high blood pressure could also cause such symptoms.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar