Whether or not to take medication when the blood pressure is 145/90 mmHg is largely based on the patient’s highest blood pressure level and the risk stratification of hypertension. If the patient’s blood pressure is ≥ 160/100mmHg, which is grade 2 or higher hypertension, the patient is advised to start oral antihypertensive medication. If only 145/90 mmHg is grade 1 hypertension, the risk stratification of blood pressure should be based on the risk factors of hypertension, whether the target organs are damaged, and whether there are clinical events and whether diabetes is combined, etc. Patients with high risk of very high risk are recommended to start oral antihypertensive drug therapy, while patients with low and intermediate risk can be observed for 1-3 months with lifestyle improvement, and if the blood pressure still cannot If the blood pressure still cannot reach the standard, patients are also recommended to start oral antihypertensive drug therapy.