How to Identify Pseudo Hypertension

Pseudo hypertension, unlike true hypertension, does not result in a consistently elevated blood pressure. Instead, it refers to temporary spikes in blood pressure that return to normal levels once the triggering factor is removed. Identifying pseudo hypertension involves regular blood pressure monitoring. If you discover a specific cause — such as sleep deprivation — and after eliminating that cause, your blood pressure stabilizes, it is likely to be pseudo hypertension. However, it's important to note that prolonged episodes of pseudo hypertension can sometimes progress into chronic hypertension, so consistent monitoring is essential.

Common Causes of Pseudo Hypertension

Understanding the triggers behind temporary blood pressure increases can help distinguish pseudo hypertension from its chronic counterpart. Below are some of the most common causes:

1. Sleep Deprivation or Stress

Young individuals without a family history of high blood pressure may experience a temporary increase due to lack of sleep or heightened anxiety. For example, someone who stays up late for several consecutive nights may wake up with a blood pressure reading of around 140/90 mmHg. However, after a full night's rest, their blood pressure typically returns to normal. If no further elevation occurs once the stressor is removed, this is a strong indicator of pseudo hypertension.

2. Medication Side Effects

Certain medications, including interferons, vaccines, or those containing glycyrrhizin (a compound found in licorice), can temporarily elevate blood pressure. These increases are often short-lived and subside once the body adjusts or the medication is discontinued. If your blood pressure returns to normal after stopping the treatment and remains stable without the need for antihypertensive drugs, it is likely a case of pseudo hypertension.

Why Monitoring Matters

While pseudo hypertension itself is not dangerous, it should not be ignored. Regular blood pressure checks can help identify patterns and ensure that temporary spikes don't develop into a long-term condition. Keeping a log of your readings, along with notes on lifestyle habits or medications, can provide valuable insights for both you and your healthcare provider.