Hypertension may cause myocardial infarction, but there are many factors that contribute to the occurrence of myocardial infarction, and hypertension is only one that promotes the occurrence of myocardial infarction. Disorders of blood sugar and lipid metabolism or poor control of the patient’s usual blood pressure, as well as severe exertion before the occurrence of myocardial infarction, or mood swings that induce plaque rupture, can eventually lead to myocardial infarction. For hypertension, if the patient’s blood pressure is poorly controlled, it will lead to abnormal hemodynamics of coronary arteries, combined with increased lipids and abnormal blood sugar, all of which will promote the occurrence of atherosclerosis. If the plaque of coronary artery is unstable, combined with some triggers will lead to acute myocardial infarction. The main thing for people with hypertension is to monitor blood pressure regularly and keep it within the standard range. People with increasing age can prevent myocardial infarction by adding drugs such as aspirin and resulvastatin to stabilize the plaque on the basis of well-controlled blood pressure.