High blood pressure (hypertension)

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  • With Mayo Clinic emeritus hypertension specialist

    Sheldon G. Sheps, M.D.

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Question

Anxiety: A cause of high blood pressure?

Can anxiety cause high blood pressure?

Answer

from Sheldon G. Sheps, M.D.

Anxiety doesn't cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, temporary spikes in your blood pressure.

If those temporary episodes occur frequently, such as every day or almost every day, they can cause just as much damage to your blood vessels, heart and kidneys as can chronic high blood pressure. In addition, when you have anxiety, you're more likely to resort to other unhealthy habits that can increase your blood pressure, such as:

  • Smoking
  • Drinking
  • Overeating

Some medications to treat anxiety, such as selective serotonin reuptake inhibitors (SSRIs), also can increase your blood pressure.

If you have trouble controlling your anxiety or if anxiety interferes with daily activities, talk to your doctor or a mental health provider to find an appropriate treatment.

Next question
Sleep deprivation: A cause of high blood pressure?
References
  1. Wei TM, et al. Anxiety symptoms in patients with hypertension: A community-based study. International Journal of Psychiatry in Medicine. 2006;36:315.
  2. Sheps SG, ed. Mayo Clinic 5 Steps to Controlling High Blood Pressure. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2008.
  3. Hildrum B, et al. Effect of anxiety and depression on blood pressure: 11-year longitudinal population study. British Journal of Psychiatry. 2008;193:108.

AN01086

May 22, 2009

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