The next time he goes surfing, he will get tired a lot faster and will run out of breath a lot faster. He will also feel a lot more tired quicker than he used to.
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It's more accurate, especially since heart rate is almost universally measures in beats-per-minute, than, say, timing your pulse for a [factor of 60] seconds (30 seconds, 20 seconds, 15 seconds, 12 seconds, etc.).