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Hi,
I assume your Azure Servers as Platform as a Service (Paas)? If the answer is yes, is this an Azure Managed Instance? I ask this question as there is a known perform issue with Managed Instances.
SQL Monitor will query the Azure server to obtain information regarding the server. Depending the results of the queries executed there will be an increase in load.
Best place to start looking as to what SQL Monitor is what is occurring is to review the SQL Monitor Log files which can be found To download the log files go to Configuration, and under Diagnostics, click Retrieve log files.
Many Thanks
Eddie
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SQL Monitor: 11
Azure SQL Database: Standard S1