### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am very active. Weights, cardio , hit training. I am 45 . Possibly thyroid problem .have no insurance .been sick with severe cough for 4 weeks . My resting heart rate is unusually high for me 88/95 ..I do have mitral valve prolapse ..heavy cycles the last 2x years and weight gain .even with regularly workout

### output:

Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry.I'll try to explain you something and give you my opinion. You should know that normal heart rate ranges between 50-100 beat for minute. When it exceeds 100 beats for minute with normal sinus rhythm we call it sinus tachycardia. Heart frequencies between 80-90 are quite normal during normal activity. Someone might experience sinus tachycardia during an emotional stress, during physical activity and this is also normal. There are also some pathologies like anemia, hyperthyroidism or active infections that might be responsible for sinus tachycardia. So if you have a heavy cycle you have to check your blood for possible anemia. If you have a long history of cough it might be a possible bronchitis that keeps your heart frequency high.Also, it is quite known that people with mitral prolapse might have occasionally rhythm issues. But to decide what is they cause and how to deal with it, if I was the treating doctor I will recommend some examination like an electrocardiogram, a full blood analyze to exclude anemia, hyperthyroidism, active infections.Also, I will recommend a holder rhythm monitoring to see what happens with your rhythm during day and night. Only after this we can judge if it is necessary to treat anything. Hope I was helpful. Wish you good health. Best regards.