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Stress can cause headaches, and stress can cause hypertension. Nursing is a stressful profession, and so it would not be surprising to find that nurses experience both headaches and hypertension. The nurses who, because of stress, have high blood pressure are likely to be the ones who, because of stress-caused headaches, are using analgesics. That could account for a part of the correlation between analgesic use and hypertension, as reported by Curhan et al.¹

John H. Glaser, MS
Lexington, Mass

1. Curhan GC, Willett WC, Rosner B, Stampfer MJ. Frequency of analgesic use and risk of hypertension in younger women. Arch Intern Med. 2002;162:2204-2208. FREE FULL TEXT

Arch Intern Med. 2003;163:1114.