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PREVENTION

Benefit of polypills in a low socioeconomic community in the USA

Nature Reviews Cardiology volume 16, page 701 (2019)Cite this article

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In a socioeconomically vulnerable community in Alabama, USA, the use of a polypill containing four low-dose drugs produced greater reductions in blood pressure and LDL-cholesterol level than usual care. This finding comes from a randomized, controlled, open-label trial reported in The New England Journal of Medicine.

The investigators enrolled 303 adults without cardiovascular disease; 96% were black and 75% had an annual income lower than US$15,000. Participants were assigned to receive a polypill (containing amlodipine 2.5 mg, atorvastatin 10.0 mg, hydrochlorothiazide 12.5 mg and losartan 25.0 mg) or usual care. The monthly cost of the polypill was $26. At 12 months, pill counts indicated that adherence to the polypill regimen was 86%.

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References

Original article

  • Muñoz, D. et al. Polypill for cardiovascular disease prevention in an underserved population. N. Engl. J. Med. 381, 1114–1123 (2019)

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Related article

  • Chow, C. K. & Meng, Q. Polypills for primary prevention of cardiovascular disease. Nat. Rev. Cardiol. 16, 602–611 (2019)

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  1. Nature Reviews Cardiology http://www.nature.com/nrcardio/

    Gregory B. Lim

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  1. Gregory B. Lim
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Correspondence to Gregory B. Lim.

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Lim, G.B. Benefit of polypills in a low socioeconomic community in the USA. Nat Rev Cardiol 16, 701 (2019). https://doi.org/10.1038/s41569-019-0295-x

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  • DOI: https://doi.org/10.1038/s41569-019-0295-x

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