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AIM We aim to explore the association between morning blood pressure surge and cognitive function in elderly patients with essential hypertension.Methods 107 patients submitted to 24 h ambulatory blood pressure monitoring were categorized as with morning blood pressure surge (MBPS) group (n=40), and non morning blood pressure surge (NMBPS) group (n=67).Total cholesterol, body mass index (BMI) were determined, and MMSE was measured.