Stress and your blood vessels
Increases in blood pressure due to stress can be dramatic. Although blood pressure returns to normal once the stressor disappears, even temporary spikes in blood pressure—when ongoing—can damage your blood vessels and heart. Here’s why:
The inside lining of the blood vessels (called the intima) is smooth and slippery, to allow the blood to move freely. The cells of the intima are easily damaged by high blood pressure, as well as too much sugar and nicotine (see page 8). When the cells are damaged, they pull away from each other, forming a tiny nick in the smooth arterial wall. As soon as this damage is detected, the body initiates repair tactics, “patching” up the hole with LDL (bad) cholesterol. If you have elevated levels of LDL to begin with (and/or too-low levels of HDL or good cholesterol), too much is deposited over the nicks.
The deposition of LDL over the nicks attracts the white cells of the immune system, which try to repair the damage. In doing so, the cells release their contents, causing inflammation. Together, the cholesterol and inflammation encourage the development of large “foam cells” in the arterial walls. These cells require a good supply of blood to keep them alive. As they grow in numbers, they outgrow their blood supply and send out an electric charge that attracts blood platelets.
As every high school biology student knows, platelets are what causes the blood to clot. Over time, the platelets attract more clotting proteins and the damaged area—now known as plaque—continues to grow. Eventually, the artery becomes clogged and the heart tissue fed by that blood vessel is cut off from its vital nourishment. Compounding the problem is the fact that many people react to stress by smoking, drinking too much alcohol or eating fat-laden “comfort” foods. This further increases the risk for high blood pressure, heart attack and stroke. The next time you feel the need to de-stress, give your arteries a break, put on your walking shoes and take a spin around the block instead.
Long-term high blood pressure
Although many researchers have studied the link between chronic high blood pressure (hypertension) and stress, no one has been able to show conclusively that stress by itself causes this condition. Some health experts have therefore speculated that other behaviours linked to stress, including those mentioned above and poor sleep patterns, may lead to an increase in blood pressure that persists over the long term.