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This is your heart on an energy drink, and it’s contracting significantly faster than it was before you opened that can full of liquid stimulant.

So says a team of cardiac radiologists who wanted to figure out why energy drinks like Red Bull, Monster, 5-Hour Energy and Rockstar are sending tens of thousands of people to emergency rooms each year, including nearly 21,000 in the U.S. alone, according to a 2013 report from the Substance Abuse and Mental Health Services Administration.

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