What your foot pulse might be telling you about your heart A visibly strong dorsalis pedis pulse (on the top of your foot) can sometimes signal more than good circulation - it may be an early sign of underlying cardiovascular issues. Why it matters: * Peripheral vascular changes can show up as exaggerated pulses. * Fluid overload from conditions like right-sided heart failure can cause distended veins & elevated central venous pressure (CVP). * Often linked with congestive heart failure (CHF) wh