Bounding Pulse

Large bounding pulses are seen in aortic insufficiency and other high-output states, such as thyrotoxicosis, severe anemia, right-to-left shunt, and wet beriberi.

Card Tutorial

Patient 1

This is a young man with intravenous drug use who was admitted to the hospital with infective endocarditis of the aortic valve resulting in severe aortic regurgitation.

This patient also has a decrescendo diastolic murmur over Erb’s point, an Austin Flint murmur over the apex, and Cheyne-Stokes respirations.