How does elevated heart rate/blood pressure from working out differ from other sources?

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Elevated heart rate/blood pressure is often cited as a benefit of working out but a negative side effect of many vices such as nicotine. Why is it healthy in one scenario but not the other?

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In exercise, your heart rate and blood pressure go up for a while, then come back down. That helps your body stay regulated and work better.

But your heart can’t safely beat fast forever, and high blood pressure over long periods of time stiffens your heart muscle and damages your organs.

With long-term nicotine use, your heart and organs just never get to rest. And that wears everything out way faster.

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