It is very common for anxiety and bigeminy to reinforce each other, but these symptoms are highly manageable. To address your racing heart, chest discomfort, and physical anxiety, doctors often prescribe beta-blockers, such as metoprolol or propranolol. These medications safely slow your heart rate and stabilise its rhythm. For your insomnia and underlying anxiety, selective serotonin reuptake inhibitors (SSRIs) are excellent for long-term management. For immediate sleep support, non-habit-forming options like low-dose trazodone are often preferred, as they improve sleep without negatively affecting your heart. Please consult your doctor to find the safest, most effective treatment plan for you.