Occasional nighttime palpitations can sometimes be linked to high blood pressure, but they are also frequently caused by stress, caffeine, or minor sleep issues. Please don't worry, as these episodes are very common and highly treatable. If hypertension is the cause, doctors often prescribe medications like beta-blockers (such as metoprolol), which slow your heart rate and lower blood pressure. Other common options include calcium channel blockers (like amlodipine) or ACE inhibitors (like lisinopril) to relax blood vessels. I highly recommend scheduling a visit with your doctor. They can easily check your blood pressure and perform a simple ECG to give you peace of mind and the right guidance.