多种药丸对心血管疾病的初级和二级预防的有效性:一个务实的集群随机对照试验 (PolyPars)
Fatemeh Malekzadeh1, Abdullah Gandomkar2, Hossein Poustchi1
1Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Heart (British Cardiac Society)
|March 14, 2024
概括
一种固定剂量组合疗法 (多药丸) 在农村伊朗人口中显著降低了50%的心血管疾病风险. 这种多药丸疗法在初级和二级预防中被证明是安全有效的.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 研究固定剂量组合疗法 (多药) 在农村环境中预防心血管疾病的疗效.
- 聚帕斯研究是一项实用的集群随机试验,在伊朗南部进行.
研究的目的:
- 为了评估多药丸在预防主要心血管疾病方面的有效性.
- 在典型的农村人口中评估多药丸治疗的安全性和有效性.
主要方法:
- 一个双臂集群随机试验,涉及4415名年龄在50-75岁的参与者.
- 干预组接受了多药 (抗高血压药,他类药,阿司匹林) 加上生活方式教育;对照组仅接受生活方式教育.
- 主要结局:主要心血管事件的组合,平均随访时间为4.6年,使用共享虚弱的考克斯回归分析.
主要成果:
- 干预组中86%的患者坚持服用多种药物.
- 与对照组相比,在多药组中观察到主要心血管事件减少了50% (HR 0.50;95% CI 0.38-0.65).
- 绝对风险降低为4.0% (95% CI 2.5%-5.3%),严重不良事件没有显著差异.
结论:
- 固定剂量组合疗法 (多药丸) 有效减半了人口层面上主要心血管疾病的风险.
- 多药丸疗法是农村环境中预防心血管疾病的安全有效策略.
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