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Yeah, he didn't exactly need an Apple watch to tell him something is going on. That's a bit under double what his heart rate should be. Equivalent to what someone in reasonable shape would have when they're jogging. It's amazing he never got it checked out before.

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It's possible he may not have noticed, or may not have realised that his RHR was unusually high. I mean, in day to day living how many of us are really conscious of what our hearts are doing outside of periods of heavy exertion?

120 is an "uncomfortable" heart rate though; you'd feel it at rest, it would somewhat get in the way of concentrating or sleeping. (Although it's easy to dismiss as resulting from anxiety or infection.)

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