Prevention & lipidsResearch article

Global Impact of Fixed-Dose Combination Therapies on Cardiovascular Mortality and Events, 2023-2050

J Am Coll CardiolPublished

  • Modelling study
  • state-transition and demographic modelling
  • 182 countries
  • sensitivity analyses

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

Main finding

As reported in the abstract

Deaths and cases prevented
GroupDeaths preventedCases prevented
Targetedup to 29 millionup to 51 million
Populationup to 72 millionup to 130 million

Further findings

OutcomeTargetedPopulationNon-SPC (current) care
Reduction in all-cause premature mortality2.0%3.2%Not reported in the abstract

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. J Am Coll Cardiol. Published 22 July 2025. doi:10.1016/j.jacc.2025.04.043

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