Gout may cause an increase in blood pressure. Gout is essentially a metabolic disease related to purines and uric acid. Blood uric acid levels are positively correlated with a patient’s risk of developing high blood pressure, because a persistently high uric acid level stimulates renin secretion, which leads to the proliferation of arterial smooth muscle cells and consequently to an increase in blood pressure. In addition, damage to the renal tubules by urate crystals may also lead to gouty nephropathy and consequently renal hypertension. In addition, high purine diet and alcohol consumption are important causes and triggers of gout, while the onset of hypertension is also related to alcohol consumption, diet, smoking and other bad habits, there are common risk factors for both, so gout may cause elevated blood pressure, and gout patients are often prone to hypertension. Gout patients with symptoms of elevated blood pressure are advised to go to the rheumatology and cardiovascular departments of regular hospitals for detailed consultation.