Global Impact of Fixed-Dose Combination Therapies on Cardiovascular Mortality and Events, 2023-2050: A Modeling Study
Authors' conclusion
SPC therapies could substantially accelerate progress on cardiovascular disease mortality by increasing use of preventive drugs, especially in settings where uptake is currently low.
Study context
- Population
- Primary and secondary CVD prevention in 182 countries182 countries
- Comparison
- Single-pill combination (SPC) therapy scenarios vs non-SPC care
- Outcome
- Ischemic heart disease- and stroke-related deaths and nonfatal events prevented
- Follow-up
- 2023-2050
Methodological detailsstate-transition and demographic modelling, 182 countries, sensitivity analyses
- State-transition and demographic modelling
- 182 countries
- Sensitivity analyses
Main finding
As reported in the abstract
Deaths and cases prevented
| Group | Deaths prevented | Cases prevented |
|---|---|---|
| Targeted | up to 29 million | up to 51 million |
| Population | up to 72 million | up to 130 million |
Deaths prevented
Targetedup to 29 million
Populationup to 72 million
Cases prevented
Targetedup to 51 million
Populationup to 130 million
Further findings
| Outcome | Targeted | Population |
|---|---|---|
| Reduction in all-cause premature mortality | 2.0% | 3.2% |
Regional distribution
- Greatest share of events prevented in South and East Asia and the Pacific, because of population size
Original publication
Global Impact of Fixed-Dose Combination Therapies on Cardiovascular Mortality and Events, 2023-2050: A Modeling Study. J Am Coll Cardiol. Published 22 July 2025. doi:10. 1016/ j. jacc. 2025. 04. 043
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