Hi,
Without having a direct interaction with you, as per your age [42] and sex [female], it could be Pre-menopausal symptoms, but to manage on the same, you should first get an opinion of a Medicine Specialist for Panic attacks [anxiety], rhythm disorder,
diabetes,
thyroid problem, and might order relevant examinations like Chest X-ray, EKG,
Complete blood count, thyroid and blood sugar test.
Avoid excess of tea and coffee. Avoid alcohol and smoking. Avoid mental strain. Treatment will depend upon the cause: i.e. medicine will vary from mild tranquilizers to system specific. Recurrent episodes of
vertigo, with
tinnitus with normal between the attacks: one should suspect Meniere's disease: ask for ENT check up [second opinion].
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Munish Sood, Ayurveda Specialist