Which hypertensive patients need strict monitoring of blood pressure 1, hypertensive patients who have heart, brain, kidney damage and fundus lesions 2, hypertensive patients who have diabetes 3, hypertensive patients who cannot lower their blood pressure to normal levels through lifestyle improvement alone In the following cases, if you have or more than 3, you should use antihypertensive drugs directly 1, age: men > 55 years old, women > 65 years old 2, have early onset Family history of cardiovascular disease 3, are smoking 4, hyperlipidemia 5, abdominal obesity or obesity 6, lack of physical activity Why do you need to monitor early morning and night blood pressure Whether you have normal blood pressure or hypertension, 24-hour blood pressure usually has periodic fluctuations, the highest blood pressure at 9-10 o’clock in the morning, that is, the morning peak blood pressure, and then gradually decline, and at night during sleep blood pressure drops to the lowest point. Some patients with hypertension have a different pattern of blood pressure fluctuations than normal people, with low blood pressure during the day and higher blood pressure at night. Instead of morning peak blood pressure, the blood pressure peaks at night.