A new study finds that chronic stress can lead to higher blood pressure, even in people without preexisting conditions. Even if your blood pressure is normal, high stress levels may put you at risk of developing hypertension within the next decade. Doubling the levels of cortisol alone was associated with a 90% higher risk of having a cardiovascular event. The American Heart Association published the study.

Dr. Abhay Laddu, cardiologist at SSM Health St. Joseph Hospital in Lake St. Louis says, “The higher one’s stress level is the greater one’s risk is for developing the same type of outcomes heart attack, chest pain, high blood pressure, stroke.”

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