###Human: Can high BP cause constant morning palpitations? ###Assistant: Hi. I have worked through your query and understand your health issues. I assure you not to worry. With all the normal laboratory reports (attachment removed to protect patient identity) palpitations in the morning and evenings may be due to anxiety. Anxiety is considered to be the biggest cause of palpitations. I suggest you to consult a cardiologist and get a complete physical examination done. He will insist you to take an EKG (electrocardiogram) and run few tests accordingly. Some of the causes of tachycardia and palpitations are: There are chances that after all the cardiac investigations, your cardiologist might change the tablet from Metolar 50 mg (Metoprolol) to tablet Atenolol.