Mine doesn't appear to be related to altitude....but I never/rarely drive any lower than 4000 ft. Whatever the cause (at least on mine) it is very random....as I've mentioned, I drive mine to work daily, some days it does it, some days it doesn't. Sometimes it may only happen once on this particular grade, some times it happens multiple times. It is almost non-existent in the winter, but doesn't come back immediately when summer hits.
Lately, I also noticed a pulsation feeling, but it is very subtle, perhaps because I am paying so much attention to it. I THINK this pulsation happens only when my turbo is being lazy. The numerical boost gauge will not show pulsating boost (i.e. the number stays the same) but that bar graph boost gauge will show slight pulsing. Again, very subtle and may not even be related.