Generally, it's referring to a chronic condition, meaning that your blood pressure is elevated as a trend over time. Everyone goes through huge peaks and troug

Generally, it's referring to a chronic condition, meaning that your blood pressure is elevated as a trend over time. Everyone goes through huge peaks and troughs with BP - at the gym, sleeping, etc... will have massive changes in BP. There are certain conditions where "instant" BP can become a problem, both high and low. Orthostatic hypotension, for example, is a condition where you can get dizzy or black out from changing position too quickly. There's also a condition known as labile hypertension that can cause random high spikes in BP.