Common misconceptions about antihypertensive treatment for hypertensive patients

  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 antihypertensive treatment, including lifestyle adjustments and drug therapy, the reasons for this are mainly the lack of awareness of the dangers of hypertension, or think that no obvious symptoms and do not need to take drugs, and some patients are afraid that once you take antihypertensive drugs 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, overemphasize the role of lifestyle adjustment and reluctance to take medication Some patients, although they recognize the dangers of hypertension and are willing to undergo antihypertensive treatment, only adjust their lifestyle and are reluctant to use antihypertensive medication, 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 adjustments, blood pressure can be briefly restored to normal, the vast majority of hypertension requires drug therapy, therefore, for moderate to severe hypertension, after diagnosis should be given drug therapy; for the first occurrence of mild hypertension patients, after about 1 month of lifestyle adjustments, such as blood pressure can not return to normal, should also start drug therapy.  3, only pay attention to drug treatment, ignore the adjustment of lifestyle A part of the patient while eating antihypertensive drugs, while continuing to smoke, drink a lot of alcohol and eat and drink, blood pressure often can not be lowered. 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 pressure by 2-8 mmHg, exercise can lower 4-9 mmHg. 4, think that the side effects of Western medicine, over-reliance on Chinese medicine Quite a number of patients take pulse Junan, Zhenju antihypertensive tablets and other so-called Chinese medicine preparations, in fact, the active ingredients of these drugs are still Western medicine preparations, for some mild hypertension can be by a certain effect, but often poor effect on moderate to severe hypertension. In fact, the current Western antihypertensive drugs have good safety, under the guidance of doctors can be long-term, safe to take.  5, there are symptoms on the medication, no symptoms on the discontinuation of a part of the patient in the blood pressure control on the discontinuation of drugs or symptoms before intermittent medication, in fact, patients suffering from hypertension generally need to take drugs for life, intermittent medication blood pressure fluctuations, but prone to stroke and other serious complications, should be long-term medication, blood pressure control below 140/90mmHg, some patients require control of lower.  6, antihypertensive drugs need to be changed after taking a period of time 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.  In short, hypertensive patients understand the concept of scientific and reasonable antihypertensive treatment is an important factor to improve the level of control of hypertension and reduce the complications of hypertension.