Is there a connection between smoking and high blood pressure that won't go down?

Dec 03, 2022 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Smoking is related to uncontrolled high blood pressure. Smoking damages the endothelium of arterial blood vessels, causing arterial spasms that elevate blood pressure and make it difficult to lower. Nicotine stimulates the sympathetic nervous system, triggering the release of adrenaline, noradrenaline, and dopamine. Dopamine is a potent substance that increases blood pressure; therefore, smoking contributes to persistent high blood pressure.

Blood pressure that remains uncontrolled is usually related to smoking.

Blood pressure is the force that drives blood flow through blood vessels. When affected by various factors, blood pressure may rise, leading to hypertension. Patients with high blood pressure should quit smoking because cigarette smoke contains substances such as carbon monoxide, tar, and nicotine, which can damage the inner lining of arterial blood vessels. This damage may cause arterial spasms, resulting in elevated blood pressure and making it difficult to lower blood pressure effectively. Additionally, nicotine in tobacco stimulates the sympathetic nervous system. Once activated, the sympathetic nervous system releases adrenaline, noradrenaline, and dopamine—substances that contribute to increased blood pressure. Therefore, persistent high blood pressure is indeed associated with smoking.

If you have hypertension, it's essential first to quit smoking and drinking alcohol. Then, under a doctor’s guidance, take prescribed antihypertensive medications regularly. This helps prevent uncontrolled blood pressure and avoids various discomforts; in severe cases, failure to control blood pressure may even endanger the patient's life.