Several misconceptions about the treatment of hypertension

  There are more and more patients with hypertension, and there are many treatments and drugs for hypertension, but we found in the clinic that there are many misconceptions about the treatment of hypertension in patients with hypertension.  First of all, the treatment of hypertension disease does not only rely on antihypertensive drugs, but also diet and life control are important. The pathogenesis of hypertension is still unknown, but smoking and high salt intake are clear risk factors for hypertension, so patients with hypertension need to quit smoking and control salt intake, with salt not exceeding 6 g per day or 3 g in severe cases. hypertension is strongly influenced by emotions, so try to maintain a calm state of mind. Weight loss and physical exercise can help the treatment of hypertension, and daily activity is essential.  Secondly, blood pressure, no matter how high, should be reached immediately. Many patients with hypertension are eager to reach the standard, the original blood pressure 180/110mmHg, but also need to immediately drop to normal, so a large number of antihypertensive drugs. A major role of blood pressure is to maintain the blood supply to the brain, if blood pressure is lowered too quickly, it will lead to insufficient blood supply to the brain, but affect health. We advocate smooth blood pressure lowering, so that the body’s blood pressure drops smoothly and the daily fluctuation of blood pressure is smaller.  Again, the drug that can make the blood pressure fall immediately is a good antihypertensive drug. In the clinic we see many patients think so. We advocate smooth blood pressure lowering, now many good antihypertensive drugs are long-acting preparations, the effect of the drug takes a week or even longer to achieve the best effect, so in the early days of taking the effect is not obvious, many patients therefore think that such drugs are less effective, and frequent replacement of antihypertensive drugs, resulting in delayed treatment, aggravating the disease.  Finally, keep looking for antihypertensive drugs that have no or few side effects. Any drug has side effects, and its side effects are summarized in a large number of clinical studies, and appear in one person but not necessarily in another. Therefore, when someone else takes the drug and has side effects, it does not mean that he or she will also experience them. Furthermore, the use of drugs is based on the consideration of pros and cons. If an antihypertensive drug is most suitable for a patient and there is no substitute, it should be used even if it has many side effects (which do not occur in that patient).  There is another point, there are many clinical antihypertensive Chinese medicine, most of which have the ingredients of Western medicine, many patients turn to the application of many Western drugs after the application of poor results, in fact, or in the application of some Western drugs, I hope to see the instructions before the application.