the Impact of Emotions on Blood Pressure and Cholesterol Levels

Emotions, blood pressure, and blood lipids?

Hello Doctor: I have a habit of measuring my blood pressure regularly.
My systolic pressure has consistently been below 120, but my diastolic pressure fluctuates between 80 and 90, which makes me worried that it might develop into hypertension in the future or pose some health risks.
I have several questions to ask you:
1.
I previously discovered that I have high cholesterol.
Is there any relationship between high cholesterol and elevated diastolic pressure?
2.
I am a person who easily experiences anxiety and tension.
I often feel nervous when measuring my blood pressure, even at home.
My heart rate frequently hovers between 80 and 100 during these measurements.
Additionally, I have been experiencing anxiety and hypochondriasis since August, and I have not yet recovered.
I am very concerned that my blood pressure readings will be high, so whenever I think about measuring my blood pressure, my heart starts racing, and I feel a strong urge to avoid it.
However, I am also afraid that my blood pressure might actually be high, so I always feel my heartbeat when measuring it.
Does this affect the accuracy of the blood pressure readings? (There were one or two instances when I measured it in a state of extreme calm: the readings were below 120/80, but my heart rate was still above 90.)
3.
What factors can influence diastolic pressure? What methods can be used to lower diastolic pressure? Thank you, Doctor, for taking the time to respond.

kk, 20~29 year old female. Ask Date: 2021/11/12

Dr. He Dongjin reply Cardiology

Hello, a systolic blood pressure below 120 and a diastolic blood pressure between 80-90 indicates a very stable condition with no hypertension.
Don't worry; anxiety and stress can affect the accuracy of blood pressure readings and can also impact your heart rate, making such measurements unreliable.
There's no point in stressing over an incorrect number.
Given your age as a young woman, the likelihood of developing hypertension is extremely low.
You may consider not measuring your blood pressure for now and focus on enjoying life.
Best wishes from Changhua Hospital.

Reply Date: 2021/11/12

More Info

Understanding the impact of emotions on blood pressure and cholesterol levels is crucial for maintaining overall health. Your concerns about fluctuating blood pressure and cholesterol levels are valid, especially given the interplay between emotional states and physiological responses.

1. Relationship Between Cholesterol and Blood Pressure: High cholesterol levels can contribute to the development of atherosclerosis, which is the hardening and narrowing of arteries due to plaque buildup. This condition can lead to increased blood pressure as the heart has to work harder to pump blood through narrowed arteries. However, your current blood pressure readings (systolic below 120 and diastolic between 80-90) are not classified as high blood pressure. It’s important to monitor these levels regularly, especially if you have a history of high cholesterol. While high cholesterol can be a risk factor for cardiovascular diseases, it does not directly cause high blood pressure. Instead, both conditions may share common risk factors such as poor diet, lack of exercise, and stress.

2. Impact of Anxiety and Stress on Blood Pressure: Anxiety and stress can significantly affect blood pressure readings. When you are anxious, your body releases stress hormones like adrenaline, which can temporarily increase heart rate and blood pressure. This is often referred to as "white coat syndrome," where individuals experience elevated blood pressure in clinical settings due to anxiety about the measurement itself. Your experience of feeling your heart race when thinking about measuring your blood pressure is a common reaction. It’s important to create a calm environment when measuring your blood pressure at home. Techniques such as deep breathing, meditation, or even progressive muscle relaxation can help lower anxiety levels before taking measurements.

3. Factors Influencing Diastolic Blood Pressure: Several factors can influence diastolic blood pressure, including:
- Body Weight: Higher body weight can increase blood pressure.

- Diet: High sodium intake can lead to increased blood pressure. A diet rich in fruits, vegetables, whole grains, and low-fat dairy can help manage blood pressure.

- Physical Activity: Regular exercise strengthens the heart and improves circulation, which can help lower blood pressure.

- Sleep Quality: Poor sleep can lead to increased blood pressure. Ensuring you get adequate, quality sleep is essential.

- Alcohol and Tobacco Use: Both can raise blood pressure and should be limited or avoided.

To help lower your diastolic blood pressure, consider the following strategies:
- Adopt a Heart-Healthy Diet: Focus on a diet low in saturated fats and cholesterol, and high in fiber. The DASH (Dietary Approaches to Stop Hypertension) diet is particularly effective.

- Regular Exercise: Aim for at least 150 minutes of moderate aerobic activity each week, such as brisk walking or cycling.

- Stress Management: Engage in activities that promote relaxation, such as yoga, meditation, or hobbies that you enjoy.

- Limit Alcohol and Quit Smoking: Reducing alcohol intake and quitting smoking can have significant benefits for blood pressure and overall health.

In conclusion, while your blood pressure readings are currently within a normal range, it’s important to continue monitoring them, especially in light of your anxiety and cholesterol concerns. Implementing lifestyle changes can help manage both blood pressure and cholesterol levels effectively. If you continue to experience anxiety or if your blood pressure readings fluctuate significantly, consider consulting a healthcare professional for further evaluation and support.

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