<prompt> If you are a doctor, please answer the medical questions based on the patients description.I awake in the morning with what I presume are palpitations, where it feels like my heart is beating very hard-not sure that it is racing however. I sleep quite well and dont perceive myself to be stressed. My blood pressure and heart rate after moderate exercise are normal. More often I have been told my BP is on the low side.I am a healthy active 60 year old female, but of course concerned as my maternal grandparents were felled by stroke.I wondered if this may have to do with menopause  <response>: Hi and thank you for asking! I read your query and understood your concerns. Tachycardia and palpitations are a common finding in menopausal women. However, other causes should be excluded first including:- Anemia-Cardiac issues cardiac failureThis is why I would like to suggest doing the following examinations:- Blood work- ECG- Cardiac echoic they are normal then your symptoms are definitely related to menopause. Hope this will be of help! Wish you health! 