October 8 is Hypertension Day in China. In recent years, China has made great progress in the prevention and treatment of hypertension. The rate of knowledge, treatment and control of hypertension has increased significantly. Hypertensive patients and society as a whole are increasingly accepting healthy lifestyles, aerobic metabolic exercise has gradually taken root in people’s hearts and become the fitness and disease prevention practice of millions of people. The key to cardiovascular prevention and treatment is “early”. No disease early prevention, early treatment of disease. Adults should measure blood pressure every year, pay attention to their own blood glucose, blood lipid levels, weight measurement, work again busy, but also to take the time to make the annual physical examination. 45 years of age or older men, or postmenopausal women, especially hypertension at the same time as diabetes mellitus, dyslipidaemia, obesity, smoking, the family has early years of coronary heart disease and other risk factors, can not pay attention to the control of high blood pressure only, we must be on a variety of risk factors. Comprehensive management. Multiple risk factors coexist, the risk of coronary heart disease and stroke is not additive, but several times higher. For example, diabetic hypertensive patients, to reduce blood pressure to a lower level than non-diabetic hypertensive patients, should be reduced to 130/80mmHg or even lower. Hyperlipidemic patients with diabetes mellitus should aim for the same level of lipid reduction as is required for patients who have had a myocardial infarction. Total cholesterol, LDL cholesterol, and triglycerides should be reduced to less than 180 mg/dl, 100 mg/dl, and 150 mg/dl, respectively. The earlier the risk factors are intervened the easier it is to control them, with fewer medications, saving healthcare costs and fewer side effects. Treating early hypertension with lifestyle changes or a single medication is highly effective. If not treated early, long-term hypertension not only requires the combined use of multiple drugs, blood pressure is difficult to control, and may have led to damage to the heart, brain and kidneys. Early prevention should adhere to the use of scientific means, scientific disease prevention is both effective and save money. Many patients waste a lot of money, the use of no scientific basis of “health care products” and some “card” class, not prevent disease, but also wrong disease. Even with myocardial infarction, nowadays there are methods to “bring the dead back to life”, such as thrombolysis and direct catheterization. If treated within one hour of the onset of the disease, myocardial necrosis may be avoided to a large extent, and for every 1,000 patients treated, 50 lives can be saved compared to traditional treatment, and with a delay of up to 12 hours, the number drops to 20. Time is myocardium, time is life. The main sign of myocardial infarction is chest pain, pressure, choking, and squeezing in the middle of the chest, behind the sternum, or in the pharynx. I urge “if you have chest pain, go to the hospital”. More than half of myocardial infarctions do not have any aura, and sudden chest pain is the only signal. Myocardial infarction is getting younger. Some young people in their 30s and 40s have a sudden onset of disease, do not realize the seriousness, with “hold on for a while to get through” mentality; myocardial infarction is often in the night and early morning, the patient would like to wait until dawn to say; some people know that they have a heart attack, the patient or family members, and even some health care workers think that it is dangerous to move the patient, the result is lost, lost a precious life. Whether using thrombolytic drugs, or catheterization methods of treatment, the cost is fixed, the sooner the treatment to the hospital, the greater the benefit. If you don’t have a disease, you can prevent it before it happens. If you have a disease, it is not too late to cure it.