It's to do with the sensor and they may come and go depending on the factors mentioned above (Exp length, darkness, temperature, ISO)
When you're pushing these factors a lot of cameras will 'show' hot pixels yet not show them at other times.
If you're getting them under 'normal' conditions then I guess it could be a pain. Do you shoot RAW ?. I think the RAW conversion will wipe them out but I could be wrong.