Common Misconceptions and Behaviors in Treatment of Hypertension

Hypertension is one of the most common cardiovascular diseases at present. According to the latest statistics, there are nearly 200 million hypertensive patients in China, but the number of patients under effective control is very few. There are many reasons for this, but hypertension patients are in the process of treatment. The existence of many misconceptions in this is one of the important factors. As the weather turns cold, the blood pressure of a considerable number of hypertensive patients will increase significantly, which may cause serious cardiovascular and cerebrovascular complications. Therefore, these common misconceptions should be paid attention to and corrected.

1. Unwilling to carry out antihypertensive treatment, including adjustment of lifestyle and medication. More than 90% of hypertensive patients are primary hypertension, which is a chronic disease that requires long-term or lifetime medication. Although some people have discovered high blood pressure, they don't care, and even think that it doesn't matter if they are treated or not. The main reason is the lack of understanding of the dangers of hypertension, or the belief that no obvious symptoms do not require medication, and some patients are afraid that once they take antihypertensive drugs, they will need to take the medication for a lifetime. People who hold this attitude show that they are irresponsible to themselves and that they are irresponsible to caring and loving your family members. It is extremely wrong and must be avoided. According to evidence-based medicine, the outcome of taking medicine and not taking medicine is completely different. For those who do not take medicine for a long time, because blood pressure is at a high level for a long time, it can promote or accelerate the damage of heart, brain, kidney and other vital organs, and even cause disability. Or death. Therefore, it is necessary to recognize the importance of antihypertensive treatment, and actively, effectively, and long-term control blood pressure to normal or ideal levels.

In fact, the vast majority of patients with hypertension have no special symptoms, and they often develop symptoms after severe complications such as stroke and myocardial infarction occur. However, treatment is too late at this time. Therefore, once hypertension is diagnosed, life-long treatment is required. Including non-drug therapy and/or drug therapy.

2. Excessive emphasis on the role of lifestyle adjustment and unwillingness to take medication. Although some patients realize the danger of hypertension and are willing to take antihypertensive treatment, they only adjust their lifestyles and are unwilling to use antihypertensive drugs, thinking that diet therapy such as celery and hawthorn can be complete Buck. In fact, only a very small number of first-onset hypertension can temporarily return to normal blood pressure through lifestyle adjustments. The vast majority of hypertension require medication. Therefore, for moderate to severe hypertension, medication should be given after diagnosis; New-onset patients with mild hypertension should also start medical treatment if their blood pressure cannot return to normal after adjusting their lifestyle for about one month.

3. Only pay attention to medication and ignore the adjustment of lifestyle. Some patients continue to smoke, drink a lot of alcohol and eat and drink while taking antihypertensive drugs, and their blood pressure is often unable to drop. 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 loss, a reasonable diet (low-salt, low-fat, and high-fiber diet), increased physical activity, and reduction of mental stress. For smoking cessation, studies have confirmed that every 10kg of body weight can lower blood pressure by about 5-20mmHg, salt restriction can lower blood pressure by 2-8mmHg, and exercise can lower blood pressure by 4-9mmHg.

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4. Misunderstanding of not being able to persist in treatment .This part of patients is the most. There are some patients who take the medicine "fishing for three days and drying the net for two days", especially when the blood pressure is normal, stop the medicine, and take the medicine again when the blood pressure rises; they are just afraid of the side effects of antihypertensive drugs. In fact, the harm caused by hypertension is generally speaking. The side effects caused by drugs are much greater, and due to the large fluctuations in blood pressure, serious complications such as cerebral hemorrhage will be induced in the heart, brain and kidney. Severe complications such as failure or stroke usually do not recover automatically. Therefore, patients with hypertension should adhere to the "three hearts", that is, confidence, determination and perseverance. Only in this way can we prevent or delay the damage to important organs.

5. Take the medicine if there are symptoms, and stop the medicine if there is no symptoms. Some patients stop taking medicine after blood pressure is controlled or take medicine intermittently when they have symptoms. In fact, patients with hypertension generally need to take medicine for life. For serious complications such as stroke, long-term medication should be taken to keep blood pressure below 140/90mmHg, and some patients require it to be controlled even lower. It is not right to stop the medication, intermittently or change the medication without the doctor's diagnosis and treatment. Some elderly people, after taking blood pressure lowering drugs for a period of time, see that their symptoms have improved and their blood pressure has dropped to normal, they think they have been "cured", so they stop taking the medication. In this way, using stop-stop, artificially lower blood pressure-raise-lower again-raise again, more likely to develop cardiovascular and cerebrovascular disease.

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 them for a period of time. In fact, it is not the case. The original treatment can be continued as long as the blood pressure is well controlled. There are also some elderly people who think that regular dressing changes can avoid drug resistance, but every time a dressing change needs to be re-adjusted, unnecessary blood pressure fluctuations should be avoided.

7. Misunderstandings of taking antihypertensive drugs before going to bed Some hypertensive patients often take one day's antihypertensive drugs before going to bed or take them once before going to bed. This practice is unscientific and dangerous. Because when a person falls asleep, the human body is in a static state, which can naturally decrease blood pressure by 10%-20%, which is called the circadian rhythm of blood pressure. And the most obvious is 2 hours after going to bed. If the patient takes antihypertensive drugs before going to bed, two hours is the period of high concentration of the drug, which can cause a significant drop in blood pressure, insufficient blood supply to important organs such as the heart, brain, and kidneys, and cause accidents in the patient. This situation is especially serious in elderly hypertensive patients and must be avoided. Therefore, antihypertensive drugs for hypertensive patients should be taken in the morning to control the peak blood pressure increase in the morning and prevent the occurrence of cardiovascular and cerebrovascular accidents related to sudden blood pressure rises. Long-acting antihypertensive drugs should also be taken once in the morning.

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8. Don't monitor blood pressure, take the medicine based on feeling. Many elderly hypertensive patients usually do not measure their blood pressure, and only take the medicine based on self-feeling. When there is no discomfort, take less or even not take the medicine. Once symptoms such as dizziness and headache occur, they suddenly increase the dosage. The problems are:

Antihypertensive treatment must be monitored. If blood pressure fluctuates or drops too quickly, dizziness, headaches and other discomfort symptoms may also occur.
2/3 of the long-term hypertensive patients are asymptomatic due to tolerance, and may eventually find out their blood pressure problems until they are admitted to the hospital for cerebral hemorrhage.
If blood pressure is not measured, taking medication blindly will not only fail to control blood pressure stability, but also make the condition worse and induce cardiovascular and cerebrovascular diseases.

9.Abuse and misuse of antihypertensive drugs. Different patients, combined with different diseases, different risk factors, and different ages, the antihypertensive drugs used are different, and the compatibility of each other is also very particular. It is recommended that patients go to the doctor for a thorough examination and choose long-acting preparations and medicines more suitable for them.

10.Thought that hypertension can be completely cured. One of the most concerned issues for many people suffering from hypertension is the question of whether hypertension can be cured. And bad media also from time to time promote a certain "magic drug" that can completely cure hypertension, and many people are deceived for it. Although the current medical technology has developed rapidly and made great progress, it is a pity that the current medicine has no definite cure for this disease. The patient's strong desire to seek a radical cure has been exploited by lawbreakers, and what is even more regrettable is that our society has not yet perfected mechanisms and capabilities to prevent these pervasive scams from happening.

In short, understanding scientific and reasonable antihypertensive treatment concepts for hypertensive patients is an important factor in improving the level of hypertension control and reducing hypertension complications.

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Common Misconceptions and Behaviors in Treatment of Hypertension