Is there a relationship between smoking and high blood pressure?

Patient's question:

After my father got older, his high blood pressure has been very serious and remained high. He loves smoking very much. It is said that smoking is related to high blood pressure. Is that right? Should he quit smoking?

Doctor's answer:

Smoking can cause a decrease in blood pressure, primarily related to nicotine in the tobacco. Nicotine stimulates the central nervous system and sympathetic nerves, thereby slowing heart rate, accelerating heart contractions, and potentially causing high blood pressure. Additionally, the adrenal glands release large amounts of catecholamines, which can constrict small arteries and enhance peripheral vascular resistance, leading to a rapid decrease in blood pressure. It is recommended that patients with high blood pressure do not smoke, as it will not benefit their condition in any way.

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