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Stress and high blood pressure: What’s the connection?

Being under stress can cause your blood pressure to spike briefly. But researchers aren’t sure whether stress can cause blood pressure to rise long-term.

Experts do know that exercising 3 to 5 times a week for 30 minutes can lower stress. For people with high blood pressure, doing activities that help manage stress and improve health can help lower blood pressure.

The body releases a surge of hormones when under stress. These hormones cause the heart to beat faster and the blood vessels to narrow. These actions increase blood pressure for a time.

There’s no proof that stress by itself causes long-term high blood pressure. But reacting to stress in unhealthy ways can raise blood pressure and increase the risk of heart attack and stroke. Behaviors linked to higher blood pressure include:

Heart disease also might be linked to certain health conditions related to stress, such as:

There’s no proof that these conditions are directly linked to high blood pressure. But the hormones the body makes when under emotional stress might damage arteries. The artery damage might lead to heart disease. And symptoms of depression and anxiety might cause some people to forget to take medicines to control high blood pressure or other heart conditions.

Stress can cause a steep rise in blood pressure. But when stress goes away, blood pressure returns to what it was before the stress. However, short spikes in blood pressure can cause heart attacks or strokes and also may damage blood vessels, the heart, and the kidneys over time. The damage is like the damage from long-term high blood pressure.

Although people with high stress and high blood pressure would generally see blood pressure go down after controlling stress, reducing stress might not lower blood pressure in everyone. But managing stress can help improve health in other ways. Learning how to manage stress can lead to healthy behavior changes — including those that lower blood pressure.

Here are some ways to manage stress:

Learn what works for you. Be willing to try new things. Get the health benefits, which might include lowering blood pressure.

© 1998-2024 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.

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