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Pulsatile tinnitus is a condition in which a person hears rhythmic sounds that often match the heartbeat. Unlike common tinnitus, which usually presents as ringing or buzzing, pulsatile tinnitus creates a pulsing, whooshing, or throbbing noise inside one or both ears. The sound may become more noticeable at night or during quiet moments when external noise is minimal. This condition can result from changes in blood flow near the ear, vascular abnormalities, high blood pressure, anemia, ear infections, or disorders affecting blood vessels and circulation.

Some individuals experience intermittent symptoms, while others hear the sound continuously. Pulsatile tinnitus may also occur alongside dizziness, headaches, hearing loss, or a feeling of pressure in the ears. Because it can sometimes indicate an underlying medical condition, proper evaluation by a healthcare professional is important. Diagnosis often includes hearing tests, physical examinations, and imaging scans such as CT or MRI studies to identify vascular or structural causes.