For hypertensive patients, when to start using antihypertensive drugs is a very tangled topic, and there are some misconceptions about using drugs to lower blood pressure. Today I will talk about my views, there are the following points? For your reference: I. Common misconceptions 1, as long as the blood pressure is high drug antihypertensive For this problem, not only patients, is sometimes doctors are also worried, because blood pressure measurement up too much change, blood pressure affects too many factors, therefore, what kind of conditions measured blood pressure can reflect the real blood pressure, there are difficulties. According to the results of my blood pressure measurements in the office, some patients have normal blood pressure when they first enter the office, and then their blood pressure becomes high after the consultation is completed while ensuring that they are not emotionally stimulated, and many more people have high blood pressure when they are measured at the time of admission and then return to normal after the consultation is completed. Now there are many people is a measure of blood pressure high point immediately with antihypertensive drugs, in fact, this is not in line with the principles of the “Chinese hypertension guidelines”. 2, the first consideration of drug antihypertensive treatment (wrong) The Chinese hypertension guidelines emphasize the basic position of non-pharmacological therapy in the treatment of hypertension, but some patients, or some doctors, think that non-pharmacological therapy is not important, the first thought is drug antihypertensive, in fact, is to put the cart before the horse. Therefore, for people who are first found to have hypertension and no other diseases, it is better to implement non-pharmacological therapy for 1-3 months first. Non-pharmacological therapy is to control salt, more vegetables, moderate exercise and lifestyle rules, and to quit smoking and limit alcohol. Effective then continue, ineffective then add other measures to lower blood pressure 3, regardless of the cause of high blood pressure, high blood pressure on direct drug hypotension (wrong) With the development of medical equipment, the detection rate of secondary hypertension is increasing, therefore, the occurrence of hypertension in young people should firstly be considered from several aspects of endocrine, renal, vascular, followed by cervical spondylosis, excessive pressure can also cause a temporary increase in blood pressure. In addition, different secondary hypertension need to choose different antihypertensive drugs. 4, drug antihypertensive can be as you wish Drug antihypertensive emphasis on regularity, because blood pressure is too high or too low are unfavorable to the blood supply of important organs, severe hypertension can not require a short period of time to reach the standard, taking antihypertensive blood pressure in the normal range can not arbitrarily stop reducing drugs, if blood pressure is too low should be standardized to reduce the amount of antihypertensive drugs. Second, and finally summarized, meet the following conditions need drug antihypertensive treatment 1, confirmed hypertension, blood pressure in 2-3, or cerebral aneurysm, coronary artery disease, heart failure 2, drug control, blood pressure at normal levels, no obvious hypotension caused by cerebral ischemic symptoms such as dizziness, dizziness, cardiac ischemia such as angina attack aggravation 3, belong to secondary hypertension 4, primary hypertension, no above problems, but After 1-3 months of non-pharmacological treatment is ineffective or blood pressure further increased