Misconceptions about hypertension

  China is a large country of hypertension, 2002 national nutrition survey data show that < 60 years of age, 1 in 3 people with hypertension, > 60 years of age prevalence is certainly not to mention. China’s elderly? Hypertension patients have more than 80 million, the number of countries in the world’s first, “low awareness rate, low control rate” is the characteristics of hypertension in China, many people have many misconceptions in the treatment of blood pressure problems.  Myth 1: High blood pressure is a physiological response to aging, as long as there are no symptoms, no treatment.  It is not known that, regardless of whether it is tolerated or not, its harm to the human body is indisputable. The main manifestation is damage to the heart, brain and kidneys, and is a high risk factor for coronary heart disease, cerebral infarction, cerebral hemorrhage and renal insufficiency.  Myth 2: It’s okay to have high blood pressure occasionally.  The World Health Organization defines hypertension as a diagnosis of high blood pressure when the blood pressure is consistently or more than 3 times non-same day blood pressure ≥ 140 mmHg systolic and (or) diastolic ≥ 90 mmHg.  Myth 3: Normal blood pressure measured once or twice a day means normal blood pressure control.  If the time of day when blood pressure is measured falls on the flat or trough of this curve, the blood pressure may be underestimated. Normal people have higher blood pressure during the day than at night, called arytenoid blood pressure, and some people may have higher blood pressure at night than during the day or less than a 10% drop in blood pressure at night (non-arytenoid), when 24-hour ambulatory blood pressure monitoring is needed to better assess the effect of blood pressure lowering.  Myth 4: Antihypertensive medication is taken after meals and is less stimulating to the stomach.  The majority of people’s daily blood pressure peaks are usually around 8:00 am and 4:00 pm. It needs to be taken before the peak in order to have a better antihypertensive effect. If there is no serious disease in the digestive tract (ulcer), it is best to take it before meals.  Myth 5: The fewer the types of antihypertensive drugs, the better.  In fact, one antihypertensive drug is difficult to make the blood pressure standard, some people prefer to increase the dosage rather than the combination of drugs. In fact, an increase in the amount of antihypertensive drugs is likely to increase its side effects more than the increase in antihypertensive efficacy. The combination of drugs on the one hand to make better blood pressure control, on the other hand, the right combination, but also to increase the protection of important organs (heart, brain and kidney).  Myth 6: Blood pressure can be stopped after taking the drug.  Anti-hypertensive drugs should be taken for a long time, because any kind of antihypertensive drugs antihypertensive mechanism is achieved by blocking some kind of process that makes blood pressure rise, once the drug is stopped, those factors that make blood pressure rise will still work, making blood pressure rise.  Myth #7: Eager to get started.  People always want to start using antihypertensive drugs immediately after the effect, three or five days without seeing obvious results that change the drug. Lowering blood pressure is a smooth, slow process, often “with the wind into the night, moist and silent”, 4-8 weeks gradually let the blood pressure can reach the standard. A sharp drop in blood pressure, such fluctuations may be more harmful to the body, increasing the risk of cerebrovascular events.