Hypertension is one of the most common cardiovascular diseases, and the latest statistics show that there are nearly 200 million hypertensive patients in China, but very few of them are effectively controlled, which is certainly due to various reasons, but the existence of many misconceptions in the treatment process of hypertensive patients is one of the important factors. As the weather turns cold, a considerable number of hypertensive patients will have significantly higher blood pressure, which may lead to serious cardiovascular complications, so these common misconceptions should be paid attention to and corrected. These misconceptions are mainly: 1, reluctance to carry out antihypertensive treatment, including lifestyle adjustments and drug therapy, the reason for this is mainly a lack of awareness of the dangers of hypertension, or thought no obvious symptoms and do not need to take drugs, and some patients are afraid that once you take antihypertensive drugs will need to take drugs for life. In fact, the vast majority of patients with hypertension do not have specific symptoms, often in the occurrence of stroke, heart attack and other serious complications before the symptoms, but then it is too late to treat, so once the diagnosis of hypertension, lifelong treatment, including non-pharmacological treatment and/or drug therapy. 2.Overemphasis on the role of lifestyle modification and reluctance to take medication. Although some patients recognize the danger of hypertension and are willing to undergo antihypertensive treatment, they only adjust their lifestyle and are reluctant to use antihypertensive drugs, thinking that food therapy such as celery and hawthorn can completely lower blood pressure. In fact, only a very small number of primary hypertension through lifestyle adjustment, blood pressure can be briefly restored to normal, the vast majority of hypertension requires drug therapy, therefore, for most hypertension, after diagnosis should be given drug therapy; for the first onset of mild hypertension patients, after about 1 month of lifestyle adjustment, if blood pressure does not return to normal, should also start drug therapy. 3, only pay attention to drug treatment, ignore the lifestyle adjustment . Some patients continue to smoke, drink a lot of alcohol and eat a lot while taking antihypertensive drugs, and their blood pressure often does not come down. In fact, lifestyle adjustment is the basis for the treatment of hypertension and plays an important role in the treatment of hypertension, these measures include weight reduction, reasonable diet (low salt, low fat, high fiber diet), increase physical activity, reduce mental stress, quit smoking, etc. Research has confirmed that every 10 kg of weight can lower blood pressure by about 5-20 mmHg, salt restriction can lower blood pressure by 2-8 mmHg, exercise can lower 4-9 mmHg. For easy grasp, you can remember one sentence: eat less salt, more exercise, good mood, no smoking and alcohol. 4, think that the side effects of Western medicine, over-reliance on Chinese medicine. A considerable number of patients take Chinese medicine preparations such as pulse Jun’an, Zhenju antihypertensive tablets, etc. In fact, the active ingredients of these drugs are still Western medicine preparations, which may have some effect on some mild hypertension, but often have poor effect on most hypertension, and the protective effect on the organs is weak. In fact, most of the current Western antihypertensive drugs have good safety and limited toxic side effects, and can be taken for a long time and safely under the guidance of a doctor. 5, there are symptoms on the medication, no symptoms on the discontinuation of drugs . Some patients stop taking their medication after their blood pressure is under control or have symptoms before intermittent medication, in fact, patients suffering from hypertension generally need to take medication for life, intermittent medication blood pressure fluctuations, but prone to stroke and other serious complications. Therefore, hypertensive patients should take long-term antihypertensive drugs to control blood pressure below 140/90mmHg, and some patients require lower control. 6, antihypertensive drugs to take a period of time after the change of medication. Some patients think that antihypertensive drugs need to be changed after taking a period of time, but not, mainly according to the blood pressure, as long as the blood pressure is well controlled, you can continue the original treatment, of course, the choice of drugs is also very critical, should generally use long-acting antihypertensive drugs, in order to make the blood pressure control more stable. 7, the requirements of their own random, eat this and forget that. Many people are busy because of work, socializing, often forget to take medication, over time, it is customary. Until the heart, brain, kidney and eye complications only to find the problem is serious, which is a very undesirable vice. 8, the clouds and clouds, no opinion. Some patients, after the disease, do not pay attention to the advice of specialists, too much trouble, fear of trouble, unnecessary misunderstanding of the doctor, but listen to the views of friends and relatives around or other patients, in addition to not knowing that there are different diseases, different treatment of the same disease, different from person to person, different from time to time, things are different, often self error. 9, only know the treatment, do not pay attention to monitoring. According to statistics, 1/3 of our country has been treated for hypertension patients failed to control blood pressure to meet the standard, the reason is very simple, that is, did not understand the target value of antihypertensive treatment – the importance of meeting the standard. To understand, control, reduce blood pressure to cause harm to the body is the ultimate purpose, and blood pressure is to achieve this purpose of the conditions, lifestyle changes and medication is the means, whether this means is effective depends on monitoring to understand, so that regular monitoring of blood pressure levels and various biochemical, organ function indicators, for the evaluation of the effectiveness of treatment, adjusting therapy is essential. 10.Passive treatment, ignore learning. For each hypertensive patient, the disease itself is a subject, and the disease manifests itself differently in different individuals. Continuously learning medical knowledge about hypertension, experiencing its feelings and characteristics in my body and summarizing them and often discussing them with the treating physician will provide useful help to the physician’s judgment and treatment plan, and also make your confidence in overcoming the disease much higher, especially for elderly patients who have retired. But one should not take the bull by the horns. In conclusion, understanding the concept of scientific and reasonable antihypertensive treatment for hypertensive patients is an important factor in improving hypertension control and reducing hypertensive complications, and requires the attention of the whole society.