Many of us have to live with constant worry about our own health, our loved ones’ health, and our jobs. That’s on top of adapting to a lot of change. It’s an understatement to say this can be a bit stressful.
In addition to the mental toll that stress can have, there are also physical effects of chronic stress. Generally, our body can handle stress in small doses. When that stress becomes long term, it can affect all systems of the body, such as muscles, the cardiovascular system, and the gastrointestinal system to name a few.
Stress can cause muscles to tense up. With chronic stress the muscles are taut and tense for long periods of time. This may cause a number of conditions, such as tension headaches, migraines, and low back pain.
Within the cardiovascular system, an increased heart rate and elevated stress hormones and blood pressure are common responses to stress. It may also contribute to inflammation in the coronary arteries. Dealing with chronic stress can mean experiencing these symptoms for a prolonged period of time. This increases the risk of hypertension, heart attack, or stroke.
This is of particular concern for older women. When estrogen levels drop during menopause, women have an increased risk of heart disease and chronic stress can add to this risk.
Chronic stress can also affect the gastrointestinal system. Dealing with stress can alter your eating patterns, you might eat more or less than usual, or change the types of food you eat. These changes may disagree with you and lead to pain, bloating, nausea, and stomach discomfort. It can also affect how food moves through the bowel and cause diarrhea or constipation.
Long periods of stress can take a toll. Chronic stress has been linked to chronic fatigue, diabetes, obesity, depression, and more.
The Canadian Mental Health Association recommends a number of tactics to manage stress:
There are numerous national support programs, as well as local Alberta and Saskatchewan programs, which can help you cope with stress. It’s also important to speak with your health care practitioner about both your mental and physical health. Your doctor can refer you for mental health supports, as well as investigate any physical symptoms.
For example, your doctor may request an abdominal ultrasound to investigate abdominal pain or intra-abdominal structures, or a musculoskeletal ultrasound to investigate muscle pain. For cardiovascular concerns such as chest pain, medical imaging can assess the heart function, electrical changes, or blood flow (exercise stress testing, myocardial perfusion imaging). Coronary computed tomography angiography (CCTA) may also be appropriate.
CCTA can non-invasively examine the coronary arteries using a combination of X-rays and computer technology to produce comprehensive, detailed images. It’s designed to look for plaque buildup in the arteries supplying the heart muscle (a risk factor for heart disease). Patients with family histories of heart disease may be at risk for developing atherosclerotic plaque buildup, blocking or narrowing these arteries. On CT, these can be identified even before symptoms of chest pain develop.
Speaking to your health care practitioner about any mental or physical concerns helps manage stress and can help to address symptoms early, before they become troublesome. In particular, it’s important to be aware of any symptoms that may be a sign of heart problems.
In both men and women, the most common sign of a heart attack is chest pain or discomfort, but you can experience a heart attack without chest pain or pressure. Here are some important warning signs to be aware of:
If you experience any of the above emergency signs, it’s important to call 9-1-1 for the fastest medical help. For more information, please visit the heart and stroke website.
Mayo Clinic Staff (2017) “Heart attack symptoms: Know what’s a medical emergency.” www.mayoclinic.org. Accessed March 9, 2021.
Newby, D. E., et al. (2018) “Coronary CT Angiography and 5-Year Risk of Myocardial Infarction.” The New England Journal of Medicine, 2018; 379: 924-33.