Bilateral infarcts do not necessarily cause an increase in blood pressure. Bilateral infarcts indicate the occurrence of cerebral arterial sclerosis, and cerebral arterial sclerosis will lead to narrowing of blood vessels, or even serious occlusion, but bilateral infarcts are not the direct cause of hypertension, and bilateral infarcts may be a complication of hypertension. Hypertension is categorized into primary hypertension and secondary hypertension. Primary hypertension has no clear cause and is caused by a variety of factors, while secondary hypertension is caused by renal disease, adrenal disease, renal vascular disease, etc. Bilateral infarcts are not the cause of hypertension. Patients with bilateral caval infarcts who develop hypertension should be careful to find the cause of their hypertension and actively control their blood pressure levels under the guidance of their physicians to prevent recurrent infarcts and other occurrences.