What are the misconceptions in the treatment of hypertension

  (1) Reluctance to take medication misconceptions More than 90% of patients with hypertension have primary hypertension, which is a chronic disease that requires long-term or lifelong medication. Although some people have found hypertension, but do not care, or even think that treatment does not matter. This attitude is a sign of irresponsibility and is extremely wrong, and must be avoided. Long-term non-medication can promote or accelerate damage to the heart, brain, kidneys and other important organs, and even cause disability or death due to the high level of blood pressure for a long time. Therefore, it is important to recognize the importance of antihypertensive treatment and actively, effectively and long-term control of blood pressure to normal or ideal levels.  (2) The misconception of not being able to adhere to treatment This part of the patient is the most numerous. There are some patients, taking medication “three days to fish, two days to sunbathe”, especially the blood pressure is normal, stop taking medication, blood pressure rises and take medication; just afraid of the side effects of antihypertensive drugs, in fact, the harm caused by hypertension is generally much greater than the side effects of drugs, and because of the blood pressure fluctuations, will induce serious heart, brain and kidney When blood pressure continues to rise, it will not recover automatically unless serious complications such as myocardial infarction, heart failure or stroke occur. Therefore, patients with hypertension should adhere to the “three hearts”, namely confidence, determination and perseverance, in order to prevent or delay damage to important organs.  (3) The misconception of relying solely on drugs and not doing comprehensive treatment Some people think that if they have hypertension, they can take medication as long as they adhere to the long-term and regular practice, but this is not true. Because hypertension is the result of a combination of factors, including poor lifestyle, etc.. Such as smoking, alcohol abuse, excessive salt intake, overweight, elevated blood sugar, dyslipidemia, lack of exercise, irritable personality, etc.. Therefore, drug treatment also needs to be accompanied by comprehensive measures, otherwise it is impossible to achieve the desired therapeutic effect. Therefore, in addition to the selection of appropriate drugs for the treatment of hypertension, it is especially important to change the poor lifestyle.  (4) The misconception of estimating hypertension by feeling There is no parallel relationship between the level of blood pressure and the number and severity of symptoms. Some patients, especially long-term hypertensive patients, have “adapted” to hypertension and may not experience any discomfort even though their blood pressure is significantly elevated. It is a misconception that if there is no discomfort, the blood pressure must not be high. Therefore, sometimes there is dizziness and other discomfort when the blood pressure is lowered, so if the blood pressure is not measured and the amount is increased blindly, it is not good, and treatment may be delayed.  (5) Not according to the condition of scientific treatment of the misconception that there are a few patients, the other good antihypertensive effect of drugs copied over to use, which is neither objective and unrealistic. If someone uses a certain drug to lower blood pressure with very obvious effect, another person is not effective, or even ineffective. Therefore, according to the condition of the individual, the rational choice of drugs, preferably under the guidance of an experienced doctor. In addition, the rational treatment of hypertension requires the selection of the best drugs according to the systemic conditions, which need to be carried out under the guidance of a doctor. Purchasing and taking medication on your own is somewhat blind and one-sided, and there are certain unsafe factors.  (6) The misconception of taking medication without regard to the effect The main goal of treating hypertension is not only to reduce blood pressure to a normal or ideal level (less than 130/85 mmHg), but also to stabilize it for a long time, thus minimizing damage to the heart, brain, and kidney vital organs, without regularly measuring blood pressure and “insisting” on taking medication. This is “blind treatment”, which will make the blood pressure high and low. For those who are taking the medication for the first time, it can be measured once every three days; after the blood pressure is stable, it can be measured once every 1-2 weeks. In order to adjust the type of medication, dose, and number of doses according to the blood pressure situation, the blood pressure will be lowered to a more desirable level.  (7) The faster the blood pressure is lowered, the lower the better the misconception Some patients with hypertension are obsessed with the pursuit of blood pressure to reach normal levels, and believe that the lower the blood pressure should be the faster the better; the lower the better. In fact, in general, except for hypertensive emergencies (such as hypertensive crisis, hypertensive encephalopathy, etc.), the rest of the patients with hypertension should be stable and gradually lower the blood pressure. The reason is that if the blood pressure falls too fast or too low, the patient will not only experience dizziness, weakness and other discomforting symptoms of postural hypotension, but also be prone to ischemic stroke, especially in the elderly. Therefore, the principle of slow and steady must be mastered when lowering blood pressure treatment.  (8) can lower blood pressure are “good drugs” misconception There are many hypertensive patients think that as long as the blood pressure can be lowered are “good drugs”. It should be noted that many antihypertensive drugs can indeed bring blood pressure down to normal or ideal levels, but some (such as short-acting antihypertensive drugs) cannot keep blood pressure stable; some have more side effects and even affect the patient’s quality of life. The ideal antihypertensive drugs should be: can effectively reduce blood pressure; continuous medication without drug resistance; less side effects; can reduce the complications caused by hypertension; antihypertensive effect lasting; easy to take; appropriate drug prices.  (9) The misconception of taking antihypertensive drugs before going to bed Some hypertensive patients, often put a day of antihypertensive drugs before going to bed or take one antihypertensive drug before going to bed, this practice is not scientific, but also dangerous. Because when people go to sleep, the body is in a resting state, can make the blood pressure naturally drop 10%-20%, called blood pressure circadian rhythm. And the most obvious 2 hours after bedtime. If the patient took antihypertensive drugs before going to bed, two hours is also the period of high concentration of drugs, which can lead to a significant drop in blood pressure, heart, brain, kidneys and other important organs of insufficient blood supply, and the patient had an accident. This situation is especially true in elderly people with hypertension, and must be avoided. Therefore, antihypertensive drugs for hypertensive patients should be taken in the morning to control the peak of blood pressure increase in the morning, as well as to prevent cardiovascular accidents related to the sudden rise in blood pressure. Long-acting antihypertensive drugs should also be taken once in the morning.