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CAUSES OF HIGH BLOOD PRESSURE: STRESS AND OTHER CAUSES
Stress and High Blood Pressure
Suffice it to say that emotional stresses have major effects on the circulation. Blood pressure may rise, as mentioned earlier, or can fall far enough to cause fainting – as at bad news, at an unpleasant sight or from pain. Many stresses stimulate the body’s sympathetic nerves, which increase production of the hormones adrenaline and noradrenalin. It is these which raise the blood pressure. Hence, blood-pressure readings are usually higher on a first visit to a doctor than they are subsequently.
Some of us are far more stress-prone than others. Some seem to seek out stress, e.g. to set themselves difficult or almost unattainable goals. We do not know how far such individuals’ behaviour can be changed.
Other Causes of High Blood Pressure
A few people develop high blood pressure as a complication of other diseases. This is fairly uncommon. But these diseases are important because they may be curable or preventable. Examples are high blood pressure due to over-action of the adrenal glands:
A thirty-year-old architect complained of violent headaches lasting for one to three hours. These were accompanied by sweating and palpitations, and sometimes by vomiting. He twice went to see his doctor after these attacks, but nothing untoward was found and his blood pressure was normal. But after a few months, during which he had several more episodes, he realized that he was losing weight, and his doctor had him investigated in hospital. Fortunately for him he had one of his attacks while in the ward, and the house physician found his blood pressure to be very high indeed. After the attack he once again became entirely well, and his blood pressure fell to normal. Urine tests and a special X-ray soon confirmed that he had a small tumour in his right adrenal gland which intermittently secreted large amounts of the hormone noradrenalin. (In normal amounts this hormone is of great importance in regulating the blood pressure and in controlling the distribution of blood flow to tissues of the body.)
He was operated upon, with particular care to prevent the ill-effects of sudden surges of noradrenalin while the tumour was removed. The tumour was found to be a benign one. Over the past eight years he has had no further attacks and his blood pressure has remained normal.
The adrenal gland may produce too much Cortisol, a hormone which leads to high blood pressure, obesity, weakness, backache and a ruddy complexion. And an excess of the hormone aldosterone causes high blood pressure, also with weakness and fatigue. This is suspected by the doctor if he finds the level of potassium in the blood is low. The condition is readily cured by operation or controlled by drug treatment.
High blood pressure in the arms, not in the legs, is due to a congenital narrowing of the great artery of the trunk known as coarctation. This can be dealt with by operation, and for best results it should be diagnosed and treated in infancy or childhood.
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