Myth 1: Estimation of blood pressure There is no parallel between the level of blood pressure and the number and severity of symptoms. Some patients, especially those with long-term hypertension, may not feel any discomfort due to “adaptation” to hypertension, even though their blood pressure is significantly elevated, and mistakenly believe that their blood pressure must not be high as long as they do not feel discomfort. Patients with hypertension should take the initiative to measure blood pressure regularly, such as 1 week to 2 weeks, at least 1 time to measure blood pressure. So that you can take the appropriate measures, not “go by the feeling”. Misconception two: do not seek medical treatment, self-treatment At present, the market for the treatment of hypertension, as many as dozens of drugs, each with its own indications and certain side effects, not only a wide range of drugs, complex preparations, antihypertensive mechanism also varies. Self-purchase of drugs, with a certain blindness, one-sided, there are also certain unsafe factors exist. Therefore, you should first be diagnosed by a doctor, make the necessary laboratory tests, and then carry out treatment. Do not rely on imagination, or think that as long as the antihypertensive drugs can be used, not to pursue those new drugs, special drugs, or think that the more expensive drugs are “good drugs”. Misconception three: not according to the condition of scientific treatment There are a few patients, the antihypertensive effect of other people to copy the drug for their own use, which is neither objective and unrealistic. Because, the same hypertensive patients on the sensitivity of antihypertensive drugs, tolerance is very different. Such as someone with a drug to lower blood pressure effect is very obvious, while another person is not obvious, or even ineffective. For example, when taking short-acting nifedipine, a small number of people will immediately palpitations, flushing and other uncomfortable symptoms, while most people feel good. Therefore, according to the condition, the rational choice of drugs, preferably under the guidance of an experienced doctor. Myth four: long-term use of a class of drugs once a day some patients blindly long-term use of a class of antihypertensive drugs, taking drugs only as a habit, any drug taken for a long time will reduce the efficacy, drug resistance, and easy to produce drug side effects. At the same time, there are many patients whose blood pressure often requires the combination of two or more different antihypertensive mechanism of drugs to effectively reduce their blood pressure. In addition, different patients should be treated with appropriate drugs according to the duration of the disease, age, individual differences, the presence or absence of organ damage and the extent of the situation, and it is not advisable to take one drug for a long time or all the same. Therefore, it is necessary to choose and adjust the drugs in a timely manner according to the needs of the disease under the guidance of a doctor. Misconception five: can lower blood pressure are “good drugs” There are many hypertensive patients think that as long as the blood pressure can be lowered are “good drugs”. The ideal antihypertensive drug should be: effective in lowering blood pressure; continuous medication without drug resistance; few side effects; reduce complications caused by hypertension; long-lasting antihypertensive effect; easy to take; appropriate drug prices. Misconception six: only care about taking medication, regardless of the effect The main goal of treatment of hypertension is not only to reduce blood pressure to normal or ideal level (small flat 130/85 mmHg), but also to long-term stability, and thus to minimize the cardiovascular mortality and disability purposes. For various reasons (such as fear of trouble, travel), do not regularly measure blood pressure, and “insist” on taking medication, this is “blind treatment”, will make the blood pressure high and low, or discomfort, and easy to produce drug resistance or side effects. Myth 7: The faster the blood pressure drops, the lower the better Some patients with hypertension are obsessed with the pursuit of blood pressure to reach normal levels, and even think that the lower blood pressure should be the faster the better, the lower the better. In fact, in general, in addition to hypertensive emergencies (such as hypertensive crisis, hypertensive encephalopathy, etc.), the rest of the patients with hypertension should be stable and gradually lower the blood pressure. Because, blood pressure drops too fast, too low, not only will make patients appear dizzy, weakness and other discomfort symptoms of postural hypotension (also known as “cerebral anemia”), but also very easy to occur ischemic stroke, and even induced cerebral hemorrhage, this situation is especially in the elderly. Because the elderly have varying degrees of atherosclerosis, when the high blood pressure is conducive to the blood supply of the heart, brain and kidneys, if you insist on lowering to a normal level, it is bound to affect the function of the above organs, but the loss will not be worth the gain. Therefore, antihypertensive treatment must grasp the principle of slow and steady. Misconception eight: purely rely on drugs, do not do comprehensive treatment Some people think that, with hypertension as long as adhere to long-term, regular medication will be good, in fact, it is not. Because hypertension is caused by a combination of factors, including a poor lifestyle. So the drug treatment at the same time also need to take comprehensive measures, otherwise it is impossible to achieve the desired therapeutic effect. Generally speaking, the treatment of hypertension should include both pharmacological and non-pharmacological. Non-pharmacological treatment includes: general treatment (reasonable rest, appropriate sedation), diet therapy, exercise, etc. In early stage, mild hypertension patients, non-pharmacological treatment can be tried before using antihypertensive drugs. If the blood pressure is within the normal range after 3-6 months, we can continue the non-pharmacological treatment and measure the blood pressure regularly; if the symptoms are obvious, we should apply antihypertensive drugs at the same time. For patients with moderate or severe hypertension, in addition to antihypertensive drug therapy, non-pharmacological treatment should also be used to effectively control blood pressure.