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Sudden heart palpitations on sleeping, sitting. Taking alprazolam for anxiety. Causes for palpitations?

I am 47 yr old female who gets heart palpitation .they come when I am sleep or just sitting down doing nothing ect.....i have numerous ekgs and electrocardiograms all normal and even wore a halter monitor but no palpitation occured while wearing it. when i do have an attack i get the frequent urge to urinate during the attack and for several minutes after it stops why does this keep happening to me...I am currently on metoporol and just started taking alprazolam 0.25mg for anxiety it helps but i still occasionally get palpitations why is this happening to me?
Asked On : Thu, 1 Nov 2012
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General & Family Physician 's  Response
Hello chelle494 , greetings from . I am Dr Sourav Chakraborty and i will be helping you with your query . First of all the battery of tests that you have gone through are used very commonly to diagnose the usual cardiac arrythmia and some how they are negative for you. The term palpitation means uncomfortable feeling of one's own heart beat so are you feeling palpitation or some thing else like anxiety or panic attack or such equivalent . Ask some one to check your pulse when you have such attack next time , it is very important . Also your resting heart rate should be monitered . If it is controled with a metoprolol and alprazolam then please do continue those but keep an eye on yourself. I would not right way ask you to go for electrophysiological study but if your attack keeps on increasing you might need to do that test. Please be in constant touch with your cardiologist regarding this problem . It might be at the end just anxiety but going with your age i will just be careful.
Answered: Thu, 1 Nov 2012
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