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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Moderate Smoking Addiction, On Birth Control Pills, Have High Heart Rate Even With No Physical Exertion. Is It Worrisome?

Thank you Doctor. I have a 30 year old daughter, Caucasian, 5 8 , 145 lbs and in relatively good physical and mental health . She is a moderate smoker, since 14 yoa, she also has been taking birth control pills all her adult life. Also, she has no family history of heart problems. When she is just sitting, with no physical excretion , her heart rate is consistently 105 bpm s. When she works out her heart rate will consistently rise to 160 to 180 bpm s. I realize she needs to stop smoking , however; is this high heart rate condition something we should be concerned about?
Tue, 16 Jul 2013
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Addiction Medicine Specialist 's  Response
Hi,

Firstly, I feel your daughter needs evaluation for a high resting heart beat, which should include an ecg as well as thyroid hormone levels. So please ask her to see a doctor and get these tests done. Secondly, please also tell her that smoking when on birth control pills increases her risk of developing blood clots, stroke and heart attack. So she should seriously consider quitting smoking or at least using other methods of contraception. However, her present problem of a high resting heart beat is unlikely to be due to smoking alone and therefore, warrants a complete check-up.

Hope this has been of help. Best wishes.
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Moderate Smoking Addiction, On Birth Control Pills, Have High Heart Rate Even With No Physical Exertion. Is It Worrisome?

Hi, Firstly, I feel your daughter needs evaluation for a high resting heart beat, which should include an ecg as well as thyroid hormone levels. So please ask her to see a doctor and get these tests done. Secondly, please also tell her that smoking when on birth control pills increases her risk of developing blood clots, stroke and heart attack. So she should seriously consider quitting smoking or at least using other methods of contraception. However, her present problem of a high resting heart beat is unlikely to be due to smoking alone and therefore, warrants a complete check-up. Hope this has been of help. Best wishes.