HomeAnswersCardiologypulse rateI have visible pulse on both sides of my neck, and I can feel strong pulse as well. Please help.

What could cause the visible and strong pulsation on the side of my neck?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At March 24, 2022
Reviewed AtDecember 6, 2023

Patient's Query

Hi doctor,

I have visible arterial pulses on both sides of my neck. Also, I have a pretty strong pulse as well. I went to several heart doctors last year, and I did multiple tests, all tests' results came back normal, and doctors said that I was fine. So I just wanted to make sure that all is good and fine. What could be the cause? Thank you.

Hi,

Welcome to icliniq.com.

I suggest checking the vitals blood pressure and pulse rate. Check whether these visible movements are venous or arterial because in increased RV (right ventricular) pressure, jugular veins pressure increases and are seen. If you can feel it by placing a finger on it, it is arterial . You can do a 2D (2-dimensional) echocardiogram; it can find the underlying cause. Echocardiogram can measure RV pressures and any aorta-related abnormality if any. There is possibility that it can be a normal finding if all comes normal. Thank you.

Patient's Query

Hi doctor,

Thank you for the reply. I am sure that they are arterial pulses. Also, I do not have high blood pressure, and my resting heart rate is between 60 bpm and 100 bpm. So, it should be normal. I did ECG tests, treadmill tests, blood tests, and colored heart scan tests last year, and all results came back to be normal, but I still seemed to have anxiety about my heart, which made me realize lately that I can visibly see my neck pulses on both sides of my neck and wanted to make sure that it is fine. Thank you.

Hi,

Welcome back to icliniq.com.

Good to hear that your vitals and tests were normal. It can be while anxiety, your heart rate goes up and neck pulsation becomes visible. I hope you will not be having any symptoms like giddiness. One more thing you can do is bilateral carotid artery Doppler to see any localized findings. It seems a normal finding as your all tests are normal so far. If you have any symptoms then have to be correlated clinically. Thank you.

Patient's Query

Hi doctor,

Thank you for the reply. I do not have any dizziness. My symptoms can be from anxiety. I just wanted your opinion if all is good. Thank you.

Hi,

Welcome back to icliniq.com.

Do not worry, as all your tests are normal and you do not have any symptoms that show that you are absolutely fine. I suggest jogging or brisk walking for a healthy heart, do not use tobacco products if you have any habit and if anxiety affects your daily life, consult a psychiatrist. Your condition will improve with counseling. Thanks and regards.

Patient's Query

Hi doctor,

Thank you for the reply. One final question is that have you ever faced patients who had healthy hearts and had visible neck pulses like me? Thank you.

Hello,

Welcome back to icliniq.com.

We need to correlate a finding clinically before getting to a conclusion. I have not seen very prominent pulsation in normal cases. Occasionally, mildly visible pulsation is seen in normal patients with anxiety or stress. Prominent neck pulsation means that the person might have an aorta or its branches-related pathology. We do tests like echocardiogram with color doppler and CT (computed tomography) angiogram of the aorta and its major branches. Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prashant Valecha
Dr. Prashant Valecha

Cardiology

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