
Le stress peut-il provoquer des crises cardiaques ?
Revu par Dr Colin Tidy, MRCGPRédigé par Victoria RawPublié à l'origine 25 Jun 2025
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Bien que le stress à lui seul ne provoque pas directement de crises cardiaques, un stress prolongé et mal géré peut augmenter votre risque d'en avoir une. Dans cet article, nous explorons des moyens efficaces pour réduire votre probabilité de crise cardiaque et offrons des conseils pratiques pour gérer le stress.
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Over time, persistent stress may contribute to behaviours and physical responses - such as high blood pressure or poor lifestyle choices - that increase your vulnerability to maladies cardiaques.
Debbie Grayson, Pharmacist and Nutritional Therapist, Practice With Confidence, Greater Manchester, UK explains that stress is clinically acknowledged to have a harmful impact on heart health.
"Long-term stress is a well-established contributor to several factors that can lead to heart disease," she says. "These can work together over time to create the perfect conditions for a crise cardiaque."
Grayson outlines some stress triggers for heart attacks:
Adoption of unhealthy coping behaviours - such as fumer, poor diet or alcohol misuse.
How stress can increase your chance of heart attack
According to the British Heart Foundation (BHF), people with ongoing psychological stress are more likely to develop issues with their heart and blood vessels.
This includes conditions such as:
Maladie cardiaque.
Stress affects your body in ways that can put strain on your heart over time - especially if it's not managed well.
Grayson warns: "Research from the University College London has even shown that people with persistently high stress levels may have a 27% increased chance of heart disease."
She explains that when your body detects a threat - whether emotional or psychological - it can activate your fight or flight response.
"This causes a surge in stress hormones - primarily adrenaline and cortisol," says Grayson. "As a result, your heart rate and blood pressure will increase, and your blood vessels will constrict."
Fight or flight syndrome
Fight or flight is your body’s natural response to stress or fear, triggered by adrenaline. It helps you react in dangerous situations. However, it can also kick in during everyday moments, which can make anxiety worse. The important thing to remember is these feelings are normal and not harmful - they're just your body trying to keep you safe.
Grayson explains that while this response is helpful in short bursts, prolonged high levels of stress hormones can harm the inner lining of your blood vessels (the endothelium), encourage plaque build-up, and raise the likelihood of blood clots - all of which can lead to a heart attack.
What are the signs of stress?
Stress can manifest in various ways, affecting your body, emotions and behaviour.
:
Trouble sleeping due to racing thoughts.
Feeling irritable or impatient over small issues.
Difficulty concentrating or making decisions.
Constant restlessness and inability to relax.
Physical symptoms - such as nausea, dry mouth, sweating, or a racing heart.
Headaches or muscle tension in your neck and shoulders.
Grayson says it's also important to consider the indirect effects of stress.
"Stress often leads to poor sleep, unhealthy eating habits, lack of physical activity, or increased alcohol and tobacco use," she explains. "All of these are associated with heart problems."
She adds that there's also growing evidence that stress-related conditions are directly linked to a higher chance of heart health issues, even when other factors are taken into account.
Comment gérer le stress
Managing stress is crucial for maintaining your health. Grayson explains that finding long-term ways to reduce stress can protect your wellbeing - particularly your heart.
Restez actif
To support your heart - and your overall health - it’s recommended you get at least 150 minutes of moderate activity each week.
Grayson adds that regular exercise can also help lower your stress levels.
Elle dit : "Regular movement, especially aerobic exercise - such as walking, swimming or cycling, has been shown to reduce cortisol levels and improve heart health."
Embrace mindfulness
Mindfulness means paying close attention to the present moment - your thoughts, feelings, and surroundings. Research shows it can boost your overall health and help you manage stress levels more effectively.
Grayson dit : "Practices such as yoga, mindfulness meditation or progressive muscle relaxation can regulate your nervous system and reduce physiological arousal."
Sleep well
Sleep is just as important as a healthy diet and regular exercise. Most adults need 7–9 hours a night to support memory, metabolism, energy levels, and brain function.
Grayson dit : "Poor sleep hygiene also heightens stress sensitivity and increases your chance of developing heart issues. Aim for seven to nine hours per night and establish a calming bedtime routine to support restorative sleep."
Se connecter avec les autres
Loneliness can have a harmful effect on your heart. It’s more than just a feeling - it can cause stress in your body that may lead to heart problems over time.
Grayson dit : "Regular contact with friends, support groups or a counsellor can help buffer the impact of life stressors."
Live healthier
Unhealthy habits triggered by stress - such as smoking, comfort eating, and drinking too much alcohol - can harm your heart. While they might offer short-term relief, they won't help your health in the long run.
Grayson dit : "Seek healthier alternatives to managing your stress - and if needed, consult your doctor or pharmacist for support with lifestyle change or cessation programmes."
Explore therapy
Getting support from a mental health professional is a proven way to manage stress and, in turn, reduce the strain on your heart.
Grayson dit : "For those dealing with long-term stress, anxiety or trauma, la thérapie cognitivo-comportementale (CBT) or talking therapies can help reframe unhelpful thought patterns and reduce emotional reactivity."
Grayson concludes by advising that if your stress feels unmanageable - or if you experience chest pain, palpitations, breathlessness, or fatigue - it’s important to get medical help right away.
She warns: "These symptoms should never be ignored. Especially in people with existing factors for cardiovascular disease."
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À propos du critiqueVoir la biographie complète

Dr Colin Tidy, MRCGP
Médecin généraliste, Auteur médical
MBBS, MRCGP, MRCP (Paediatrics), DCH
Le Dr Colin Tidy est un médecin du NHS, basé dans l'Oxfordshire.
Historique de l'article
Article également disponible en Anglais, Allemand, Espagnol, Français, Italien, Portugais, Hindi, Hébreu, Arabe, and Suédois.
Next review due: 25 Jun 2028
25 Jun 2025 | Publié à l'origine
Écrit par :
Victoria RawRevu par
Dr Colin Tidy, MRCGP
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