<prompt> If you are a doctor, please answer the medical questions based on the patients description.Two years ago I had surgery for carple tunnel to both my hands Ever since this time I have sudden attacks of pupatations and if my blood pressure is taken that too is high up to 220120,but it all seems to return to normal within an hour or less,with or with out medication . I am otherwise a healthy 54 year old post menopausal female.I would be so grateful if you could help and avise me what I should do about this as I cannot believe it can be anxiety only,as I am not aware of being anxious, it also does not seem to follow any pattern as I can wake up during the night with pulpatations.Thank you or your time.  <response>: Hello, These episodes could be related to anxiety. Nevertheless, I would recommend performing some tests to investigate the possible underlying causes: - Complete blood count for anemia.- Blood electrolytes for possible imbalance.- Thyroid hormone levels for thyroid gland dysfunction.- Kidney and liver function tests.- Fasting glucose.- Cortisol and aldosterone plasma levels for a Chat Doctor. If all these tests result normal, you should consider anxiety as the main cause of your complaints. In such a case, you should try to manage your anxiety. Yoga, meditation, and recreational sports can help in this regard. Hope I have answered your query. Let me know if I can assist you further. 