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世界心力衰竭学会单一片剂联合疗法路线图

WHF Roadmap on Single Pill Combination Therapies.

作者信息

Ferro Enrico G, Satheesh Gautam, Castellano José, Damasceno Albertino, Erojikwe Okeoma, Huffman Mark, Irazola Vilma, Joseph Philip, Lanas Fernando, Ogola Elijah, Ordunez Pedro, Perel Pablo, Pineiro Daniel, Uchmanowicz Izabela, Vardeny Orly, Webster Ruth, Gamra Habib, Gaziano Thomas, Murphy Adrianna

机构信息

Richard A. and Susan F. Smith Center for Outcomes Research, Division of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States.

Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard, United States.

出版信息

Glob Heart. 2025 Aug 29;20(1):73. doi: 10.5334/gh.1457. eCollection 2025.

Abstract

Cardiovascular diseases (CVDs) are the leading global cause of mortality, with treatment adherence posing a major barrier to effective prevention and control. Single pill combinations (SPCs), also known as fixed-dose combinations, simplify treatment by combining multiple agents into one pill, improving adherence and reducing cardiovascular risk. This World Heart Federation Roadmap synthesizes the latest clinical evidence and identifies key barriers to SPC implementation, including limited manufacturing, affordability, regulatory complexity, and inconsistent guideline inclusion. Drawing on global expert input and health systems analysis, the Roadmap outlines practical, context-specific solutions to improve access, scale-up, and integration of SPCs into national strategies, especially in low- and middle-income countries. It serves as a tool for policymakers, clinicians, and advocates to drive progress in aligning cardiovascular prevention efforts with evidence-based, people-centred care.

摘要

心血管疾病(CVDs)是全球主要的死亡原因,治疗依从性是有效预防和控制的主要障碍。单片复方制剂(SPCs),也称为固定剂量复方制剂,通过将多种药物组合成一片药来简化治疗,提高依从性并降低心血管风险。这份世界心脏联盟路线图综合了最新的临床证据,确定了实施单片复方制剂的关键障碍,包括生产受限、可负担性、监管复杂性以及指南纳入不一致等问题。该路线图借鉴全球专家意见和卫生系统分析,概述了针对具体情况的切实可行的解决方案,以改善单片复方制剂的可及性、扩大其使用范围并将其纳入国家战略,特别是在低收入和中等收入国家。它是政策制定者、临床医生和倡导者推动心血管预防工作与循证、以人为本的医疗保健相一致的进展的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f448/12396195/391972722b2e/gh-20-1-1457-g1.jpg

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