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The `polypill' to reduce cardiovascular risk: proof of conceptData from the Steno-2 multifactorial intervention study in type 2 diabetes supports the `polypill' strategy to reduce cardiovascular risk
Vinod Patel
Warwick Medical School, Division of Medical Education, University of Warwick, Coventry, CV4 7AL, UK, vinod.patel{at}geh.nhs.uk
Oluf Pedersen
Steno Diabetes Center, Copenhagen, Denmark
John Morrissey
Diabetes and Endocrinology Centre, George Eliot Hospital NHS Trust, Nuneaton, England, UK
Hans-Henrik Parving
Steno Diabetes Center, Copenhagen, Denmark
Peter Gæde
Steno Diabetes Center, Copenhagen, Denmark
James Douglas Lee
Diabetes and Endocrinology Centre, George Eliot Hospital NHS Trust, Nuneaton, England, UK
This article considers data from the Steno-2 multifactorial intervention study in type 2 diabetes to which are applied the United Kingdom Prospective Diabetes Study (UKPDS) risk engine. Mathematical analyses support the use of a `polypill' to reduce cardiovascular risk in type 2 diabetes. It is suggested that the Polypill should include a statin, antihypertensive agents and aspirin.
Key Words: cardiovascular type 2 diabetes lipids hypertension.
References
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- Jaiveer K., Saraswathy J., Lee JD, Morrissey J., Patel V. Can Steno-2 multifactorial intervention study and UKPDS standards be achieved in a District General Hospital in the UK? Diabetologia 2003;46:(suppl 2): A103.
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The British Journal of Diabetes & Vascular Disease, Vol. 4, No. 5,
339-341 (2004)
DOI: 10.1177/14746514040040051001

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