Myth 1: Normal or low blood pressure does not lead to stroke Incorrect. Because the cerebral arteriosclerosis patients with normal or low blood pressure, because the cerebral artery lumen becomes highly narrowed, or accompanied by carotid plaque formation, or the presence of lipids, blood sugar, blood viscosity and other factors, resulting in a certain cerebral artery blockage, so that local brain tissue ischemia and oxygen deprivation and loss of function, causing ischemic stroke. Many stroke patients have experienced weakness or numbness in one limb for a short time before the onset of stroke, accompanied by sudden unfavorable speech or slurred spitting. However, because the above symptoms often disappear within a few minutes and the head CT examination is normal, it is not easy to attract people’s attention. In fact, this is the momentary localized ischemia of the brain caused by tiny cerebral thrombosis, which is medically called mini-stroke. About half of the patients with mini-stroke will have hemiplegia within 5 years, therefore, it is necessary to pay great attention to mini-stroke and seek medical consultation for prevention and treatment as early as possible. Myth 3 How much medicine to take follows the feeling Some people only take 1 tablet (25 mg) of enteric aspirin every night. In the preventive medication of cerebral thrombosis, many people know to take enteric aspirin before bedtime every night, but only take 1 tablet. In fact, the current internationally accepted dosage of enteric aspirin is 50 to 75 mg per night, that is, 25 mg of one enteric aspirin should be taken 2 to 3 tablets. If the dosage is insufficient, it will not achieve the purpose of prevention. Some people who have had strokes are often scared and anxious, so they go around to the doctor. Dr. A prescribes “Shengtongping”, while Dr. B prescribes “Nifuta”, not knowing that all these drugs with different names are actually heartburn, which results in a stroke due to overdose. Some patients also remember that “medicine is three parts poison” and do not use medicine even when their blood pressure is high, the result can be imagined. Some patients use anticoagulants and do not pay attention to monitoring. Patients with hemiplegia due to rheumatic heart disease are mostly found to have atrial fibrillation, and these patients should use anticoagulants for life and monitor their medication at the same time. Especially for patients with thrombus in the atria found by ultrasound, when using anticoagulants, the prothrombin time should be constantly monitored according to the condition and the clinical dose should be adjusted in time. Otherwise, if more drugs are used, it will cause bleeding; if not, it will cause thrombosis. Many people with rheumatic heart disease have problems after surgery because this problem is not handled well. Myth 6 It’s okay to take less medication Some elderly people often forget or repeat their medication due to poor memory. Therefore, it is recommended that middle-aged and elderly friends will often take their own antihypertensive drugs, hypoglycemic drugs, cardiac drugs and other separate packaging, which indicates the date of taking and the specific time of the morning, noon and night, or the daily medication type by time written on a piece of paper, posted in a conspicuous place as a memo. The busy work friends should have three sets of drugs, office, home, handbag each set, to remind themselves to take medication at any time. Some people think that thin people do not have strokes, so they try to lose weight. In fact, researchers have done experiments in this area: they followed up 3975 elderly people over 60 years of age suffering from hypertension, and concluded that: thin people will also have a stroke, only slightly less than fat people. Therefore, regardless of fat and thin, should take comprehensive preventive measures to avoid the occurrence of stroke. Although 90% of strokes occur in older people over the age of 40, there are still 10% of stroke patients who are not middle-aged. Young people have more social activities, more stressful lives, and more opportunities to eat and drink, and many people tend to ignore their health care because they are young. In fact, there is a trend of younger stroke in recent years. In recent years, the youngest patient with cerebrovascular disease who came to our department was only 29 years old, and the number of young and middle-aged patients between 30 and 45 years old has increased significantly. Therefore, a healthy lifestyle should be adopted to actively and effectively control the risk factors of cerebrovascular disease, while paying attention to a reasonable diet, increasing physical exercise, quitting smoking and limiting alcohol, and seeking timely medical attention when early warning signs are detected. In this way, 3/4 of cerebrovascular diseases can be controlled.