Blood pressure incidentally 180mmHg, because of different populations and different reasons, as follows: 1, normal people: can be due to carry out strenuous exercise, emotional occurrence of obvious fluctuations, as well as mental overstrain and other reasons, resulting in blood pressure temporarily reached 180mmHg, after active removal of relevant triggers, blood pressure can soon return to normal, no special treatment is required. 2, hypertensive patients: Patients with hypertension can also experience fluctuations in blood pressure up to 180 mmHg during the treatment process due to some triggers, such as insomnia, nervousness, anxiety, etc. For patients with hypertension who experience significant fluctuations in blood pressure, it is necessary to remove the relevant triggers in a timely manner and adjust the measures of antihypertensive treatment if necessary, so that blood pressure can be effectively controlled up to the standard and avoid repeated fluctuations in blood pressure that may lead to adverse effects on the human body.