Group Fitness Instructor

Answer: D - Non-steroidal anti-inflammatory drugs are unlikely to alter heart rates significantly, although an uncommon side effect may be an elevation in heart rate. In contrast, beta blockers are designed to reduce heart rate while caffeine, nicotine and some cold medicines with sympathomimetic activity can elevate it. Even more troubling, nicotine can create an irregular or uneven heart beat in many people, commonly referred to as an arrhythmia.