<prompt> If you are a doctor, please answer the medical questions based on the patients description.Woke up during the night, rapid pluse 121 and fluttery feeling in chest. took BP meds. and 81mg asprin. aAfter 12 hr. pluse went to 76 and was able to go back to sleep. woke up 2 hours later from a bad dream fluttery feeling still there but pluse is 65. No other symptoms  <response>: Thanks for your question on Chat Doctor. I can understand your concern. Hypertensive patients are at increased risk for arrhythmia rhythm disturbances in heart and other heart diseases like coronary artery disease CAD. Your symptoms like Fluttering sensations, waking up inside the middle night, rapid pulse rate etc. are more suggestive of arrhythmia and CAD. So consult doctor and get done 1. Blood pressure monitoring 2. Ecg3. 2d echo4. Stress test trade mill test5. Holder monitoring 24 hours continuous recording of ECG. You will need anti arrhythmia and cardiac supportive Chat Doctor. Strict control of blood pressure is needed. Avoid stress and tension if you are having stressful life. Dont worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. 