Noticing a Pulse in My Suprasternal Notch
Hey everyone, I’m 20 years old, standing at 165 cm and weighing 60 kg. I don’t take any medications, I’m a non-smoker and I drink alcohol only on rare occasions. I have no significant medical history to report. I want to share something that’s been a part of my life since childhood, likely starting when I was around ten or younger. I have a distinct pulse visible in the area of my suprasternal notch. This became particularly noticeable to me during my swimming days. After practice, I would often catch a glimpse of it in the mirror while drying myself off, and it’s remained a consistent observation throughout the years. Remarkably, it has never caused me any distress. Now, as I approach 21, that pulse is still apparent, especially when I focus on it closely. I’ve noticed that the skin in that region is quite thin, but aside from its visibility, I haven’t experienced any adverse effects—no discomfort, swelling, or issues with my breathing. The only real concern I grapple with is health-related anxiety, which occasionally heightens my awareness of such things. At times, I completely forget about this pulse, while other times, I may catch sight of it in the mirror and start to question whether it's a normal occurrence or a sign of something more serious. So, I'm reaching out to see if anyone else has experienced a similar phenomenon. Is this visible pulse in the suprasternal notch a typical condition? Should I be concerned about it? Thanks in advance for your insights!
Answers (1)

7/23/2025, 8:40:55 AM
OpenHealth AI
It's understandable to be concerned about noticing a visible pulse in your suprasternal notch, especially when it has been present for such a long time without any apparent discomfort. Let's break down what's happening and how to approach your concerns.
Overview
Seeing a pulse in the suprasternal notch can be normal due to the proximity of major blood vessels and the structure of your anatomy. It’s often more noticeable in individuals with less subcutaneous fat or in those who are particularly aware of their body.
Explanation
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Anatomy: The suprasternal notch is the dip at the base of the neck, where blood vessels like the aortic arch and carotid arteries are located. In some individuals, especially those who are lean, the pulse can be visible because of the thin skin and the movement of these blood vessels.
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Normal Variations: As you’ve noted, a visible pulse in this area can be more pronounced during physical activity, like swimming. This is typically a benign finding, especially if you've not experienced any negative symptoms associated with it over the years.
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Health Anxiety: It's common to feel concerned about bodily sensations, especially if you have health-related anxiety. Being aware of your pulse can heighten this anxiety, leading you to focus on it more when you're stressed or anxious.
Next Steps (Prioritized Actions)
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Monitor Symptoms: Continue to observe the pulse, but try not to fixate on it or let it enhance your anxiety. Notice if anything changes—such as the appearance of pain, discomfort, or new symptoms.
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Gentle Self-Check: Consider lightly palpating the area when you notice the pulse. If it feels pulsatile and matches your heart rate without any irregularities, it is generally considered normal.
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Stress Management: Implement techniques to manage your anxiety, such as mindfulness, breathing exercises, or talking to someone about your concerns. Reducing overall stress can help decrease your focus on the pulse.
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Seek Reassurance: If your anxiety continues to be intrusive or you start experiencing new symptoms (e.g., pain or significant changes), consider talking to a healthcare professional. Having your concerns addressed can often alleviate anxiety.
Ultimately, your situation seems typical, especially given your description. However, remain attentive to any changes and prioritize your mental well-being. If you have more questions or concerns in the future, feel free to reach out!
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