If patients experience chest tightness when they get up in the morning, consider that it may be due to an angina attack, which triggers the discomfort. In other patients, it may be due to insomnia and difficulty sleeping at night and other similar problems, which can also cause patients to experience discomfort in the precordial region when they wake up in the morning. It is advisable for patients to have their heart rate and blood pressure measured at the onset of discomfort to help assess whether hypertension is currently present. In some patients, high blood pressure in the morning can also induce symptoms of chest tightness. This is when patients should be advised to take oral antihypertensive medication, thus improving the symptoms of chest tightness and chest pain. Other patients, who may themselves have psychosomatic disorders such as anxiety and depression, are also prone to anterior cardiac discomfort in the morning.