What are the misconceptions of hypertensive patients before consultation

  Based on the medical experience of patients who came to my clinic in the past, we offer some precautions for patients and good experiences of other patients today: One of the pre-clinic misconceptions Stop taking hypertension medication before the clinic.  The vast majority of patients have the misconception that they need to fast before coming to the hospital for tests and that they need to stop taking their medications to see the doctor for adjustments. For example, if the purpose of your visit is to investigate the cause and clarify the diagnosis, you may need to do some blood tests, then you need to fast; if you are doing some equipment such as electrocardiogram, cardiac ultrasound, do not fast, if you can not judge, you can consult me on this website before the visit, I will be happy to answer for you! Some patients come in for a medication adjustment, so I need to know your blood pressure on your current regimen, not when you stop the regimen, so just take your medication as you normally would before your appointment.  Pre-visit misconception No. 2: The patient’s family members are there on his or her behalf.  Because some patients come from remote areas, and because the patient may be an older person who is not able to move easily, there may be a family member of the patient who will act on their behalf. I understand this situation, but it is difficult to fully assess the patient’s condition because the patient is not present to get an in-depth medical history, physical examination and related ancillary tests. In this case, I suggest two solutions: 1. For the first consultation, try to bring the patient to the clinic in person, and then the family can take over the consultation in future; 2. If you really cannot overcome the difficulties, we suggest that you complete the relevant tests at the local hospital, and you can consult on this website about the additional tests that need to be done, and then the family can learn more about the patient’s medical history and bring all the test reports to our clinic.  The third pre-clinic misconception is that the blood pressure measured in the hospital is accurate, as long as the line of blood pressure is measured during the visit.  With the development of electronic products, electronic sphygmomanometers have gradually replaced the traditional cuffed mercury column sphygmomanometers, and I personally prefer the traditional method of measuring blood pressure because of the deviations and instability of the electronic sphygmomanometer measurements. But I do not agree with the view that “hospital blood pressure is accurate”, why? First, some patients have white coat hypertension, the so-called white coat hypertension, that is, in front of the doctor or in the hospital environment, the patient’s blood pressure reactive elevation; second, some patients do not get sufficient rest before measurement; third, the measurement of blood pressure when the environment is noisy and so on. To address this problem, it is recommended that: 1, patients who have their own electronic sphygmomanometer, regularly go to the hospital calibration, and then learn to regularly fix their blood pressure at home, and detailed records; 2, if there is no electronic sphygmomanometer at home patients can regularly go to the local community hospital to measure blood pressure, multiple measurements can not only comprehensive monitoring of hypertension and drug effects, but also to avoid the errors of a single inter-visit measurement.  Hypertension is the most common chronic disease in China, and its treatment is a long-term and even lifelong process, requiring the joint intervention of doctors and patients, and we expect all hypertensive patients to have a positive attitude, hold the right concept, and enjoy a happy life!