© 2003 by BMJ Publishing Group & British Cardiac Society
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ISCHAEMIC HEART DISEASE
The polypill for all >55 years old
The polypill strategy, based on a single daily pill containing six components for all of the population over 55 years old, would prevent 88% of heart attacks and 80% of strokes. About one in three people would directly benefit, each on average gaining 1112 years of life without a heart attack or stroke (20 years in those aged 5564). This is based on estimates of the beneficial effects of aspirin, statin, triple antihypertensive therapy, and folic acid. The authors suggest that the data is robust, but before the whole population is treated, a trial versus the known best treatment (taking a statin a day whatever your cholesterol!) would be warranted.
Wald NJ, Law MR. A strategy to reduce cardiovascular disease by more than 80%. BMJ 2003;326:141923.
HAART may not be as bad for the heart as once thought
Before treatment,
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