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08 Mar

Can stress cause low blood pressure
Hi Doc. I am going though a very stressful time at the moment. I have controlled hypertension. However the other day I had sudden chest tightness, felt like my heart skipped a number of beats and shortly after I felt very tired. I visited my doc and my blood pressure was some 87 / 65. We readjusted my blood pressure meds and I got anxiety meds. My BP seems stable now and normal. We tested thyroid, cortisol, troponin, d-dimer. All came back normal. ECG was normal. Cholesterol and sugar where tested late last year and was normal. Could stress really cause such a dramatic change in BP? BP seemed to vary by the hour, low, high, normal, etc. It now is stable.
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Expert
Hypertension expert

09 Mar

Stress may cause high blood pressure, not low blood pressure.
Add some alcohol to the stress and you may find very high uncontrolled blood pressures. 
It is difficult to say why your BP dropped, maybe too high dosages of BP medicine, maybe less stress now compared to before, maybe less alcohol, maybe less salty food, started exercise, in other words better lifestyle, weight loss? I am glad that it seems stable now. 

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