Definition of early morning hypertension: Early morning hypertension is defined as an average home blood pressure measurement of ≥135/85 mmHg and/or an average office blood pressure measurement of ≥140/90 mmHg in the early morning, regardless of whether the blood pressure level is higher than normal at other times. It is mostly seen in newly diagnosed as well as in patients with hypertension who are already on antihypertensive treatment. The importance of early morning blood pressure: Early morning is the time of day with the highest blood pressure in the 24-hour period, when blood pressure rises rapidly as sleep turns to wakefulness (highest blood pressure); early morning is the time of day with the highest incidence of cardiovascular events in the 24-hour period, with four times the risk of ischemic stroke and a 70% increased risk of cardiovascular death (high incidence of events); early morning blood pressure is most likely to be overlooked, and by the time a patient visits the clinic for blood pressure measurement, he or she has usually already Early morning blood pressure is the most neglected, and patients usually miss the early morning hours when they visit the clinic to have their blood pressure measured (easily overlooked). Early morning blood pressure monitoring: All patients with hypertension should have their blood pressure routinely monitored and evaluated in the early morning (6:00 to 10:00 am). Early morning blood pressure management starts with early morning blood pressure monitoring and assessment to understand the control of early morning blood pressure and assess the effect of antihypertensive therapy. Early morning blood pressure screening should also be performed for those who are susceptible to hypertension.