Why Does My Heart Feel Bubbly? Causes and What to Do

A sensation often described as a “bubbly heart” is medically known as heart palpitations. These can feel like a fluttering, pounding, racing, or skipping in the chest, throat, or neck. While alarming, such sensations are frequently benign and do not always indicate a serious underlying health issue.

Common Explanations for the Sensation

Many factors contribute to the feeling of a bubbly heart, with several being quite common and generally not indicative of a serious problem. Lifestyle habits and physiological responses often play a significant role in their occurrence.

Heightened stress and anxiety are frequent triggers for heart palpitations. The body’s “fight-or-flight” response releases hormones like adrenaline and cortisol, which can increase heart rate and blood pressure, leading to a noticeable sensation.

Dietary choices and certain substances also influence heart rhythm. Caffeine, found in coffee, tea, and energy drinks, stimulates the release of noradrenaline and norepinephrine, which can raise heart rate and blood pressure in some individuals. Similarly, nicotine, whether from smoking or vaping, can increase heart rate and blood pressure, potentially causing abnormal heart rhythms.

Fluid balance within the body significantly impacts heart function. Dehydration reduces blood volume, compelling the heart to work harder to circulate blood, which can lead to a faster heartbeat. Furthermore, an imbalance of electrolytes—minerals like sodium, potassium, calcium, and magnesium that are essential for the heart’s electrical impulses—can also contribute to irregular heart sensations.

Insufficient sleep and general fatigue can affect heart rhythm. Lack of adequate rest is associated with increased blood pressure and a higher risk of various cardiovascular issues over time. Even intense physical activity, while beneficial for overall health, can cause a distinctly felt increase in heart rate as the heart responds to exertion. Occasionally, the heart may simply have an extra beat, known as premature ventricular contractions (PVCs) or premature atrial contractions (PACs), which are usually harmless in healthy individuals but can feel like a “skipped” or “bubbly” beat.

Underlying Medical Conditions

While many instances of a bubbly heart sensation are benign, this feeling can sometimes signal a more serious medical condition requiring professional evaluation. These conditions often involve the heart’s electrical system or other bodily systems that indirectly affect cardiac function.

Irregular heart rhythms, known as arrhythmias, are a primary medical cause for these sensations. These include conditions where the heart beats too fast, too slow, or with an irregular pattern. Common types that might cause a bubbly feeling include atrial fibrillation (AFib), where the upper chambers of the heart beat chaotically, or supraventricular tachycardia (SVT), which involves episodes of abnormally fast heartbeats originating above the lower chambers.

Disorders of the thyroid gland can also contribute to heart palpitations. An overactive thyroid (hyperthyroidism) produces excess hormones that accelerate metabolism, leading to an increased heart rate. Anemia, characterized by a low red blood cell count, also makes the heart work harder. With fewer red blood cells to transport oxygen, the heart must pump faster, resulting in a racing or pounding sensation.

Certain medications can have heart palpitations as a side effect, including asthma inhalers and decongestants. Structural issues with the heart, such as valve or muscle problems, can also cause irregular sensations. Severe electrolyte imbalances can disrupt the heart’s electrical signals and may require medical intervention.

When to Consult a Doctor

While the sensation of a bubbly heart is often harmless, certain accompanying symptoms or circumstances warrant immediate medical attention. Recognizing these “red flags” can help ensure timely and appropriate care.

Seek prompt medical evaluation if the bubbly heart sensation is accompanied by chest pain or discomfort, shortness of breath, dizziness, lightheadedness, or fainting spells. These symptoms could indicate a more serious cardiac event or an arrhythmia that requires urgent treatment.

Concern should also arise if the sensations become frequent, prolonged, or progressively more severe. If you have a pre-existing heart condition, a family history of heart disease, or any new and unexplained symptoms occurring alongside the bubbly feeling, it is prudent to consult a healthcare provider. If these sensations cause significant anxiety or interfere with your daily life, medical consultation can provide reassurance.

Promoting Heart Health

Adopting a heart-healthy lifestyle can contribute to overall cardiovascular well-being and may help reduce the likelihood of experiencing unsettling heart sensations. These practices focus on supporting the heart’s optimal function.

A balanced dietary pattern plays a foundational role in heart health. Emphasize consuming a wide variety of fruits, vegetables, and whole grains, which provide essential vitamins, minerals, and fiber. Include healthy protein sources like legumes, nuts, fish, and lean poultry, while limiting processed foods, added sugars, and excessive salt intake.

Regular physical activity strengthens the heart muscle, improves blood flow, and helps manage blood pressure and cholesterol levels. Aim for at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking, jogging, or cycling. Managing stress effectively is also beneficial, as chronic stress can negatively impact the cardiovascular system. Techniques like deep breathing exercises, mindfulness, and engaging in hobbies can help reduce stress levels.

Ensuring adequate sleep is another important component of heart health. Adults typically need between seven to nine hours of quality sleep per night to support cardiovascular function and help regulate blood pressure. Limiting stimulants like excessive caffeine, alcohol, and avoiding nicotine products can also prevent their excitatory effects on the heart. Finally, routine medical check-ups are important for monitoring overall health and detecting any potential issues early.