Can the difference of 200 feet altitude can affect breathing and pulse?

Yes, a difference of 200 feet in altitude can affect breathing and pulse.

Breathing

At higher altitudes, the air is thinner, meaning there is less oxygen available. This can cause people to breathe faster and more shallowly in order to get enough oxygen. In some cases, people may experience altitude sickness, which can cause symptoms such as headaches, nausea, vomiting, and fatigue.

Pulse

At higher altitudes, the heart rate may increase in order to pump more oxygen-rich blood to the body's tissues. This is because the body is working harder to get oxygen from the thinner air.

The effects of altitude on breathing and pulse can vary from person to person. Some people may be more sensitive to altitude than others. It is important to be aware of the potential effects of altitude before traveling to a higher elevation.