Misconceptions that must be taken into account in the treatment of hypertension Hypertension is a common and frequent disease among middle-aged and elderly people. Due to the growth of China’s elderly population, changes in diet structure and increased salt intake, there has been a significant increase in the number of hypertensive patients in China. a survey conducted at the end of 2012 showed that the number of hypertensive patients in China has reached 200 million and is still increasing at a rate of more than 3 million per year, which means that there is one hypertensive patient in every three families. Hypertension not only has a high prevalence rate, but also causes cardiac, cerebrovascular and renal diseases, which are the main causes of disability and death. At present, in China, the prevention and treatment of hypertension appears a “three low” phenomenon, that is, the awareness rate is low: only 35.6% of hypertensive patients know they have hypertension; the treatment rate is low: only 17.1% of hypertensive patients are treated; the control rate is low: only 4.1% of hypertensive patients adhere to the medication and will be controlled within the normal blood pressure. The control rate is low: only 4.1% of hypertensive patients adhere to their medication and keep their blood pressure within normal range. To prevent and treat hypertension, we should pay attention to the following misconceptions in treatment: One of the misconceptions is that there are no symptoms without medication The severity of symptoms of hypertensive patients is not necessarily proportional to the degree of high or low blood pressure. In contrast, some patients have a rapid increase in blood pressure in a short period of time, and although the increase is only mild, the symptoms are obvious. This is a matter of individual tolerance of the elevated blood pressure. In addition, the presence or absence of organ damage and the degree of organ damage in combination with high or low blood pressure may also present different symptoms. Therefore, it is often wrong to estimate the level of blood pressure based on self-perception, and it is also easy to delay treatment. Myth No. 2 Blood pressure can be discontinued after the application of blood pressure lowering drugs for a period of time, the blood pressure to normal, that is, to stop the drug; the result is not long after the blood pressure rises again, but also to use drugs to lower blood pressure, which not only fails to achieve the therapeutic effect, but also due to the blood pressure fluctuations of a relatively large, will cause the heart, brain, kidney serious complications, such as cerebral hemorrhage. The correct way to take the medication is to take the medication after the blood pressure drops to normal, you can continue to maintain the original treatment plan, and should not categorically stop the medication. Misconception three hearsay abuse of drugs Research shows that human blood pressure has a rhythmical change, generally in the morning and afternoon there are two peaks, night blood pressure is lower than daytime. Patients with hypertension tend to disappear this rhythm, blood pressure changes, early in the morning after waking up the greatest change, patients are prone to strokes in the morning and at night. Traditional antihypertensive drugs are mostly short-acting preparations, which need to be taken three times a day and have a short maintenance time, and cannot keep the blood pressure within the normal range for 24 hours. The use of long-acting antihypertensive drugs is currently advocated. Because of the individual differences in hypertension patients, the choice of drugs should listen to the advice of physicians, do not just refer to the treatment of others. Some hypertensive patients hope that the faster the blood pressure drops, the better, this understanding is wrong. Because, blood pressure drop too fast or too low will make patients feel dizzy, weak, and can also induce cerebral thrombosis and other serious consequences. Especially the elderly should pay attention to the smooth lowering of blood pressure. Myth No. 5, lowering the blood pressure does not meet the standard. There is insufficient understanding that blood pressure should be lowered when there are complications. According to modern hypertension control standards, where combined with diabetes or complications of diabetic nephropathy, the target blood pressure level should be lowered to below 130/80mmHg, combined with renal insufficiency should be ≤ 125/75mmHg, which can help reduce the risk of cardiovascular and cerebrovascular events. However, many people are not aware of this and fail to take active measures to achieve the target level, thus cardiovascular and cerebrovascular events are still high. Myth No. 6 Relying solely on antihypertensive drugs Hypertension has many causes, and the primary cause should be treated first, while keeping blood pressure in the normal range. Primary hypertension in the lowering of blood pressure at the same time, but also pay attention to correct bad habits, such as smoking, high-fat, high-sugar, high-salt diet, do not pay attention to physical exercise, etc., these factors can also contribute to a series of metabolic changes in the body, so that blood pressure further increase, or lead to a reduction in the effectiveness of treatment. Therefore, hypertension must pay attention to comprehensive treatment. Myth No. 7 Ignore blood pressure monitoring and recording In the process of antihypertensive treatment, many patients do not monitor their own blood pressure changes for a long time for various reasons, which is also a misconception. This is also a misconception, because the current antihypertensive principle places great emphasis on individualized medication. One of them is to insist on regular daily or weekly blood pressure monitoring and recording, so as to grasp the relationship between medication and blood pressure changes, and to understand what dose or combination of medications is needed to stabilize blood pressure at the ideal level, and at the same time It is also helpful for the doctor to guide the patient’s medication more accurately. Therefore, the correct approach is to take regular blood pressure measurements on your own initiative, either once or twice a day at home, or at least twice a week. It is also a good idea to go to the hospital once a quarter for 24-hour ambulatory blood pressure monitoring, especially during seasonal changes, so that the treatment plan can be adjusted in time to improve the rate of blood pressure reduction and individualize the medication.