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[GWICC2009]Sidney C. Smith教授谈治疗指南与临床实际

作者:  SidneyC.Smith   日期:2009/11/6 10:07:00

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International Circulation: Translating clinical practice guidelines into routine clinical practice remains difficult. For the secondary prevention of cardiovascular disease, what do you think are the main reasons for the gap between actual practice and what guidelines recommend?

International Circulation:  How do you see the future of using poly-pill in the secondary prevention of cardiovascular diseases?

Sidney Smith:  I think secondary prevention offers the greatest opportunity for the poly-pill.  Patients are more willingly to take one pill than taking 3 or 4 pills.  There are some hurtles to overcome however. That is the dose of the ingredients since some patients may need to take a higher dose than others.  Also, by putting all the drugs in one pill you need to be sure that they have the same effect as if taken singly.  In general, I believe the poly-pill’s greatest potential may lie in treating people who have known disease in terms of having a real effect.  A number of studies are underway to show whether it does make a difference.  It will be a couple of years before we know for sure.


 

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