de Abreu-Silva Erlon Oliveira, Siepmann Martin, Siepmann Timo
Hcor Research Institute, Hcor (IP-Hcor), Abílio Soares Street 250, São Paulo 04004-050, Brazil.
Division of Health Care Sciences, Dresden International University, Freiberger Str. 37, 01067 Dresden, Germany.
J Clin Med. 2024 Sep 16;13(18):5487. doi: 10.3390/jcm13185487.
Cardiovascular disease and cardiovascular risk factors are global healthcare problems, given their high prevalence and the recognized low rates of adequate control despite the abundant body of evidence on different therapeutic options. The World Heart Federation has scrutinized the reasons for poor control of cardiovascular risk factors. Among these reasons, patients' poor adherence to treatment regimens as well as limited rates of evidence-based therapy prescription from healthcare providers play a substantial role in the challenge of cardiovascular risk management. Polypills are fixed-dose combinations including two or more active drugs, from different pharmacological classes, combined in a single dosage form. Polypills were designed to simplify the clinical management of pharmacotherapy and increase adherence to treatment. From this perspective, we discuss the current literature on the use of polypills in the primary and secondary prevention of cardiovascular disease as well as future challenges and the potentials of this treatment strategy.
心血管疾病和心血管危险因素是全球性的医疗保健问题,鉴于其高患病率以及尽管有大量关于不同治疗选择的证据,但公认的充分控制率较低。世界心脏联盟已仔细审查了心血管危险因素控制不佳的原因。在这些原因中,患者对治疗方案的依从性差以及医疗保健提供者基于证据的治疗处方率有限,在心血管风险管理挑战中起着重要作用。多效药丸是固定剂量组合,包括两种或更多种来自不同药理学类别的活性药物,组合成单一剂型。多效药丸旨在简化药物治疗的临床管理并提高治疗依从性。从这个角度出发,我们讨论了当前关于多效药丸在心血管疾病一级和二级预防中的应用的文献,以及这种治疗策略未来面临的挑战和潜力。