<s>[INST] Im a 50 year old female, i woke up this morning anf heart was beating so fast i felt the chair that i was sitting on shaking with me. i got into an arguement with my daughter last night and couldnt sleep all night. Does that have anything to do with it? Im also a smoker for the past 30 years and i drink a lot of coffee in the morning. [/INST] DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERTGOER HISTORY OF AN HOME ARGUMENT WITH YOUR DAUGHTER MORE POINTS TOWARD A ANXIETY DISORDERS ANXIETY CAN CAUSE SUDDEN PALPITATION ...AND FAST HEART RATESMOKING AND COFFEE ALSO PRECIPITATES AND INCREASES THE CONDITIONS SUGGEST YOU TO DECREASE YOUR SMOKING AND COFFEE HABITS AS FAR AS POSSIBLEHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS </s>