<s>[INST] yes my friend had a stress test and was told he has tri[ple beats. the doctor has set him up fopr monitor for 24 hours. next will be another stress test with meds to get his heart rate up. am concerned about this because i do not know if he will follow through. he isd a two pack a day smoker. [/INST] Hi Headfirst of all don't worry he will be alright if stress test comes out to be normal then the consulting doctor can advise him to go for an Angiogram as smoking is a big risk factor for ischemic heart disease and triplets could be an indication for ischemia. So if that also comes to be normal It's advisable to start him no low dose BETA BLOCKERS. That will take care of the triplets. Most importantly he needs to stop smoking completely. I wish him Good Health </s>