Hypertension normally produces no
symptoms.
Malignant hypertension (or accelerated
hypertension) is when the condition is
not diagnosed until very late and may
present with headaches, blurred vision
and end-organ damage. Usually a trip to
the doctor or hospital where blood
pressure is taken for any reason will
result in the discovery of the
condition much earlier than this.
It is recognised that stressful
situations can increase the blood
pressure; if a normally patient with
usually normal blood pressure has a
high blood pressure only when being
reviewed by a healthcare professional,
this is colloquially termed white coat
effect.
Hypertension is often confused with
mental tension, stress and anxiety.
While chronic anxiety is associated
with poor outcomes in people with
hypertension, it alone does not cause
it.