It's 2am and my heart is doing that thing again. That lurching, skipping, racing thing that makes me sit bolt upright convinced something is actually wrong. I've had three of these nights this week and I genuinely don't know anymore whether I'm anxious because my heart is misbehaving or whether my anxiety is causing the palpitations. Chicken and egg and I am exhausted by both of them. I've started writing down when they happen because I need something concrete to show my GP rather than just saying "my heart goes funny sometimes at night". So far: always after a hot flush wakes me, usually between 1 and 4am, lasts anywhere from two minutes to what feels like forever but is probably ten. I've been cutting back on coffee too, switched to one cup before noon, mostly because I read something on here and thought it couldn't hurt. My appointment is in two weeks and I want to go in prepared rather than just weepy and vague. Does anyone know what tests are actually worth asking about? I keep reading about ECGs and 24-hour heart monitors but I don't know if that's me catastrophising or whether those are genuinely things I should be requesting. I don't want to be fobbed off with "it's just anxiety" when I haven't had anything properly checked. x