<s>[INST] I ve paipitations every night when I go to bed. I ve had heart test all clear but I flush at night I m 63 years old had my word removed at 33 because of heavy periods. My doc won t give me hrt because I had a sis who died of a clot in the brian.any suggestions? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Since your extensive cardiac reports are normal, no need to worry about heart diseases for your palpitations. Palpitations in night are commonly seen with uncontrolled stress, anxiety and panic disorder. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Counselling plays very important role along with  </s>