First, according to the symptoms to estimate the blood pressure high and low, based on the feeling of medication
Some people think that as long as there are no uncomfortable symptoms, hypertension does not need to be treated, which is very wrong. There is not necessarily a relationship between the level of blood pressure and the severity of symptoms. Most people with hypertension have no symptoms, and some people have significantly higher blood pressure, but because they have been sick for a long time, they have adapted to the high blood pressure level and still do not feel uncomfortable until they have a brain hemorrhage, and then they have a “feeling”.
High blood pressure is measured by blood pressure, not felt or estimated, and the absence of discomfort does not mean that blood pressure is not high. Patients with hypertension should have their blood pressure measured regularly, such as at least once a week. It is not possible to estimate blood pressure by “following your feelings”. The diagnostic criteria for hypertension are: systolic blood pressure ≥ 140 mmHg and (or) diastolic blood pressure ≥ 90 mmHg, measured three times on non-same day.
Second, reluctance to take medication prematurely
Many young patients are diagnosed with hypertension, reluctant to take medication, worried that antihypertensive drugs will produce “resistance”, use too early will lead to ineffective drugs in the future, while the symptoms are not heavy now do not use drugs. This is a very wrong and dangerous concept.
Antihypertensive drugs do not develop resistance. Except for mild hypertension in the early stages, which does not require medication by strictly adhering to a healthy lifestyle, the earlier the patient takes medication, the greater the benefit.
The main danger of elevated blood pressure is to unknowingly damage large, medium and small blood vessels throughout the body, and to damage the function of many organs such as the heart, brain and kidneys. The earlier blood pressure is controlled, the earlier blood vessels can be protected and heart, brain and kidney damage can be prevented, and the better the long-term prognosis. Do not wait until the development of heart, brain and kidney organ damage and then use drugs, you have lost the best time for treatment.
Third, antihypertensive treatment, blood pressure normalized to stop the drug
Some patients think that hypertension has been cured when their blood pressure drops to normal after taking medication, and stop taking medication on their own. This is a very harmful practice. Hypertension and cold and flu is different, hypertension can not be cured, can only be controlled through comprehensive treatment, which requires long-term, or even lifelong antihypertensive drugs. “Adherence to medication is the road to longevity for people with hypertension.” After stopping the medication, blood pressure will rise again, and excessive fluctuations in blood pressure will cause more serious damage to the heart, brain and kidney target organs.
The correct approach is to carefully and gradually reduce the dose and type of medication after long-term blood pressure control has been achieved, and generally only those patients who can strictly adhere to a healthy lifestyle can have their medication reduced. Changes in blood pressure must be monitored during the process of drug reduction.
Fourth, only take the medication, not to see the effect
Some people think that as long as they take their medication, everything will be fine and they will never have to worry about it again. They do not pay attention to their blood pressure values and do not measure their blood pressure regularly, which does not guarantee that their blood pressure will be stable and up to standard in the long run. In addition, the principle of antihypertensive emphasizes individualized medication, one of which is to insist on regular blood pressure monitoring and recording, in order to grasp the relationship between medication and blood pressure changes, to understand how much dose or how to combine medication, in order to make the blood pressure stable at the ideal level.
Five, buy your own medicine to take
Some people suffer from hypertension, not according to medical advice to take drugs, but according to the pharmacy’s recommendations, or partial belief in the advertising “good drugs”; some people think that the more expensive drugs are “good drugs”, the pursuit of those new drugs, special drugs; some people see what others take These practices are blind, harmful and unsafe. At present, the treatment of hypertension, a wide range of drugs, each drug antihypertensive mechanism varies, have their own indications, but also certain adverse reactions.
The choice of antihypertensive drugs must be based on the patient’s condition, necessary laboratory tests, the patient’s blood pressure level, other coexisting risk factors, and the accompanying target organ damage, and the choice of drugs that can effectively lower blood pressure, have no adverse effects on the patient and can protect the target organ. Treatment under the guidance of a doctor is a reasonable treatment method.
Sixth, rely on infusion to treat hypertension
Some patients want to rely on infusion for a few days to lower their blood pressure. Except for hypertensive emergencies such as hypertensive encephalopathy and aortic coarctation, which require intravenous drip antihypertensive drugs to rapidly lower blood pressure, general hypertension does not require infusion therapy. Some patients think that infusion can activate blood circulation, improve circulation and prevent blood clots. In fact, the usual infusion has no effect on the prevention of blood clots. Long-term adherence to regular oral antihypertensive drugs and comprehensive intervention of other risk factors (lowering sugar, lowering lipids, taking small doses of aspirin, etc. if necessary) is the best treatment method.
Seven, the faster the blood pressure is lowered, the lower the better
Some people think that blood pressure is high, the faster the better, the lower the better. In fact, it is not. Unless the rapid rise in blood pressure leads to a dangerous and must be quickly lowered. Generally speaking, the principle of slow and steady blood pressure lowering treatment should be mastered, and the target value should be reached in 4 to 12 weeks. If blood pressure falls too fast or too low, ischemic events are likely to occur, and even complications such as cerebral infarction and other serious consequences, especially in the elderly.
Eight, believe that the “magic pill” can cure hypertension
Once hypertension is diagnosed, most patients need long-term, lifelong adherence to non-drug and drug treatment. Many advertisements claim that a certain drug, high-tech products, health food or health care equipment can cure hypertension, without having to take antihypertensive drugs, these are pseudoscientific propaganda.
At present, there is no drug, health care product or health care device in the world that can cure hypertension. No matter where what media publicity can cure hypertension “panacea”, are false propaganda, interference with the standard treatment of hypertension, very harmful, and some people delayed treatment, and even death.
Nine, excessive trust in pure natural medicine to lower blood pressure
Some people believe that Western medicine adverse reactions, pure natural medicine non-toxic no adverse reactions. Some people take advantage of the patient’s psychology, promoting the efficacy of certain natural drugs, propaganda hypertension patients by taking certain natural drugs to lower blood pressure, can get rid of the trouble of adverse reactions to Western drugs. In fact, natural drugs also have adverse reactions. The real effect of most pure natural drugs to lower blood pressure has yet to be determined by research, do not blindly superstitious.
Ten, superstitious health care products, health care equipment to lower blood pressure effect
Some people believe that “medicine is three parts poisonous”, Western medicine has adverse reactions, unwilling to take long-term Western medicine. Some people advocate certain health care products, health care apparatus “antihypertensive effect”, can make hypertensive patients get rid of the trouble of adverse reactions to Western medicine.
In fact, health food, drinks and antihypertensive apparatus such as antihypertensive pillows, antihypertensive watches, antihypertensive necklaces, antihypertensive caps, insoles, etc., most do not have a clear antihypertensive effect, and some even have, antihypertensive effect is very slight, can not achieve the therapeutic goals, but also cause delays in the standard treatment time, and ultimately endanger health.