With the deterioration of the environment and the increase of poor lifestyle, many hypertensive patients are diagnosed as “asthma”, but for the diagnosis and treatment of hypertensive patients, we should consider: 1, hypertensive patients with poor blood pressure control need to exclude acute heart failure; 2, long-term hypertensive patients should consider the occurrence of acute left heart failure due to ischemic cardiomyopathy; 3, patients with asthma before and hypertension after should avoid the use of beta-blockers; 4, patients with “asthma” due to hypertensive heart failure should use beta-blockers as soon as possible after correction, but pay attention to start with small doses.