Heart failure & cardiomyopathies

Developing a Multilevel Polypill Implementation Bundle for Patients With Heart Failure With Reduced Ejection Fraction

JACC AdvPublished Mixed methods study

Authors' conclusion

This study illustrates the development of a multilevel HFrEF polypill implementation bundle that can be further tailored to improve HFrEF care in undertreated populations globally.

Study context

Population
Patients with Heart Failure with Reduced Ejection Fraction (HFrEF) and providers, Washington University in St. Louis and University of California-San Francisco, April–December 2023
Participants
9 vs 22
Comparison
patient vs provider
  • patientn = 9
  • providern = 22
Methodological detailsconvergent parallel, multicentre
  • Convergent parallel
  • Multicentre

Main finding

As reported in the abstract

Themes affecting implementation of a polypill-based approach to HFrEF

Four themes identified; current state of HFrEF care the organizing theme, influenced by awareness of new innovations, assessing innovation appropriateness and building competency in HFrEF care

4

Multilevel HFrEF polypill implementation bundle developed

7 domains

Original publication

Developing a Multilevel Polypill Implementation Bundle for Patients With Heart Failure With Reduced Ejection Fraction. JACC Adv. Published 8 October 2025. doi:10.1016/j.jacadv.2025.102195

Summarised from the published abstract; every number is checked against it

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