If the patient experiences symptoms of panic and palpitations at night from time to time, it is recommended that the patient take a beta-blocker in the afternoon or evening to improve this symptom, such as taking bisoprolol or betalactams. It is advisable to perform an ambulatory electrocardiogram, which helps to clarify the patient’s overall average heart rate over 24 hours, and also helps to clarify the presence of arrhythmias as well as myocardial ischemia when the patient is experiencing panic attacks and palpitations. It also helps to clarify what type of arrhythmia is present during the panic and palpitation episodes, which helps to better guide medication. Panic and palpitations may also be caused by disorders in the regulation of the vegetative nervous system or cardiac neurosis, which are particularly aggravated by difficulty in falling asleep at night and insomnia and sleeplessness. Patients are advised to take a combination of medications that have the ability to improve sleep, such as Sweet Dreams capsules or eszopiclone tablets.