White coat hypertension is a condition where blood pressure spikes in individuals, typically during medical check-ups or when they are being examined, but not at other times. This phenomenon is often attributed to anxiety and stress associated with medical examinations. Healthcare providers usually treat white coat syndrome only if you have other cardiovascular risks. Making lifestyle changes like losing a few pounds or eating less salt may be your treatment. People who are at a high risk for heart issues may need to take blood pressure medicine (antihypertensives).