Wang Andy, Veasaw Kassidy, Subhan Sarah, Patel Jay, Frishman William H
From the Department of Medicine, Westchester Medical Center/New York Medical College, Valhalla, NY.
Cardiol Rev. 2023 Jul 4. doi: 10.1097/CRD.0000000000000574.
Cardiovascular disease (CVD) is a significant cause of death worldwide. To address the global burden of CVD and its risk factors, the polypill, an all-in-one therapy that combines multiple existing medications for preventing CVD and reducing CVD events (such as angiotensin-converting enzyme inhibitor, beta-blocker, statin, or aspirin) into a single combination pill, has emerged as a potential strategy to improve CVD prevention. Clinical trials on the polypill have found that polypill use is associated with significant reductions in CVD events and risk factors in both patients with established CVD and at risk of developing CVD, suggesting a potential benefit in primary and secondary CVD prevention. The polypill has also been demonstrated to be a cost-effective therapy that may potentially increase treatment accessibility, affordability, and availability particularly in low- and middle-income countries. Further, patients on polypill therapy have shown high rates of treatment compliance, with significant improvements in medication adherence for patients with low baseline compliance. Given its potential advantages and benefits, the polypill may become a promising therapy for the prevention of CVD.
心血管疾病(CVD)是全球范围内的一个重要死因。为应对CVD的全球负担及其风险因素,多效药丸作为一种将多种现有预防CVD和减少CVD事件的药物(如血管紧张素转换酶抑制剂、β受体阻滞剂、他汀类药物或阿司匹林)组合成单一复方药丸的一体化疗法,已成为改善CVD预防的一种潜在策略。关于多效药丸的临床试验发现,使用多效药丸与已确诊CVD患者和有患CVD风险的患者的CVD事件及风险因素显著降低有关,这表明在CVD的一级和二级预防中可能具有潜在益处。多效药丸还被证明是一种具有成本效益的疗法,可能会提高治疗的可及性、可负担性和可得性,特别是在低收入和中等收入国家。此外,接受多效药丸治疗的患者显示出较高的治疗依从率,基线依从性较低的患者的药物依从性有显著改善。鉴于其潜在的优势和益处,多效药丸可能成为预防CVD的一种有前景的疗法。