At present, there are 200 million adult patients in China, and the phenomenon of “three highs” (high morbidity, high disability and high mortality) and “three lows” (low awareness rate, low treatment rate and low control rate) is common in both urban and rural areas. According to statistics, 93 out of 100 patients with cerebral hemorrhage have hypertension; 86 out of 100 patients with cerebral thrombosis have hypertension; and 50-70 out of 100 patients with coronary heart disease have hypertension. Coronary heart disease and stroke are two serious diseases that cause death and disability. Recent statistics show that nearly half of the deaths in China are due to cardiovascular diseases, and more than half of the surviving stroke patients are left with various disabilities and cannot take care of themselves. Scientific studies have shown that for every 10 mmHg increase in systolic blood pressure, the relative risk of stroke will increase by 49%; for every 5 mmHg increase in diastolic blood pressure, the risk of stroke will increase by 46%. Hypertension is a risk factor for the development of coronary heart disease. In people of any age and gender, steadily increasing or unsteadily increasing blood pressure causes an increased risk of developing coronary heart disease. A systolic blood pressure of 120 mmHg to 139 mmHg increases the risk of coronary heart disease by 40% compared to those with <120 mmHg and 1.3 times compared to those with 120 mmHg to 139 mmHg. Also, elevated blood pressure increases the risk of heart failure and kidney disease. The risk of heart failure is 6 times higher in people with a history of hypertension than in those without a history of hypertension. Every 5 mmHg reduction in diastolic blood pressure reduces the risk of kidney disease by 1/4. It is becoming increasingly urgent for doctors and patients to control blood pressure effectively and minimize the damage caused by hypertension. In our daily outpatient work, we find that many patients have misconceptions about the treatment of hypertension, and this situation not only affects the effective control of hypertension, but even causes malignant consequences such as disability and death to patients. As a doctor in the hypertension clinic, we are deeply responsible to promote the correct treatment knowledge of hypertension to patients, and not to let them die of ignorance. There are some misconceptions about the treatment of hypertension. I think actually this misconception should be divided into two aspects, one is the misconception of awareness and the other is the misconception of treatment. (1) First of all, let's talk about the misunderstanding of hypertension. 1, many people think that high blood pressure is simply an increase in blood pressure value, there is nothing to be afraid of. In fact, this is a misconception, hypertension is not a simple increase in systolic and diastolic blood pressure, in fact, the increase in blood pressure, the most important is to cause damage to the heart, kidneys, brain and peripheral blood vessels. For example, hypertension can cause hypertrophy of the heart muscle, which eventually leads to heart failure. For the kidneys, if blood pressure is not properly controlled, it may eventually lead to kidney failure as well. For the brain, it can lead to cerebral hemorrhage, cerebral embolism, etc. In addition, it can cause peripheral vascular atherosclerosis, etc. Therefore, hypertension is not a mere increase in blood pressure, it can lead to heart, brain, kidney, vascular and other organ dysfunction. 2, many people judge whether there is hypertension, as well as hypertension treatment process blood pressure control is good, not with the blood pressure value to assess, but only by the symptoms to assess. In our clinical work, we often meet some patients and ask them if they have hypertension. He said no, then asked: How high is your blood pressure, he said 180 mmHg, which is not called hypertension? But the patient thinks it is not a big deal because he does not feel dizzy. So, it is a misconception that many people evaluate whether they are hypertensive or not entirely by their symptoms. In fact, many patients with hypertension do not have any symptoms, some already have high blood pressure and do not feel dizzy or have a headache, and some have discomfort when their blood pressure is just a little bit higher, and everyone's reaction to increased blood pressure is different. (B) Myths about hypertension treatment. 1. "The faster you lower your blood pressure, the better". Reasonable use of antihypertensive drugs can maintain the patient's blood pressure at or near normal levels, to reduce symptoms, delay or prevent the occurrence of heart, brain, kidney and other organ complications. However, except for the "hypertensive phenomenon", "hypertensive encephalopathy" and "acute hypertension" which require emergency blood pressure lowering, most patients with "slow-onset" hypertension "The blood pressure of patients with hypertension should not be lowered too quickly, generally within two to four weeks after taking the drug to normal. 2, "the lower the better". Hypertension combined with different diseases, the goal of lowering blood pressure is different, not the lower the better, otherwise it will trigger heavier discomfort, and may even induce cerebral thrombosis, coronary heart disease, renal insufficiency and other accidents. The goal of blood pressure lowering for ordinary hypertensive patients is blood pressure <130/85mmHg, for diabetes, kidney disease and other high-risk patients is blood pressure <125/75mmHg, after cerebrovascular disease, coronary heart disease patients is blood pressure <130/80mmHg, elderly hypertensive patients is systolic blood pressure <150mmHg, if tolerated, can be further reduced. 3, "blood pressure down to normal and stop the drug. Many hypertensive diseases develop slowly, the course of the disease often up to 20 to 30 years or more. If you feel no symptoms or stop taking your medication once or twice after your blood pressure is normal, it is easy to cause blood pressure fluctuations. Antihypertensive drugs have a time limit, after the expiration date of the patient did not continue to take drugs, blood pressure will immediately rebound. And repeatedly taking medication to stop, will cause blood pressure fluctuations intensify, but more likely to cause damage to the heart, brain and kidneys. 4, "Do not always take the same drugs, so as not to fail." Patients with this view often take the initiative to constantly change the variety of antihypertensive drugs. In fact, this is not right. Select certain antihypertensive drugs, after obtaining satisfactory results should continue to adhere to take, generally will not fail, such as blood pressure fluctuations occur, should look for other reasons, including colds, fever, mood swings, stay up late, overwork, etc. can lead to blood pressure fluctuations. 5, "already take antihypertensive drugs, do not need to change the lifestyle" many patients with hypertension in the treatment of some of the same misconceptions. Many people diagnosed with hypertension and do not care, eat or very salty, and do not quit smoking, overweight and do not lose weight, often stay up late, many bad lifestyle do not pay attention to improve, which is also a misunderstanding on the treatment. 6, excessive belief in health care products, give up taking antihypertensive drugs. Because the antihypertensive drug instructions write too many side effects. Many people are overly worried about the side effects written on the instructions, and stop the anti-hypertensive drugs, but also overly believe in health care products, these are some of the misconceptions in the treatment of hypertension. In conclusion, only by correctly understanding hypertension and correctly treating hypertension can we avoid the damage of hypertension to our heart, brain and kidney, reduce the burden for our family and society, and improve the quality of life. Remember "don't pay the price of life because of ignorance"!