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                    Three blood pressure lowering drugs in low dose

                  combination would reduce stroke by 60% and heart

                                                disease by 50%






            Three drugs at half standard dose are estimated to lower blood pressure
            by 20 mmHg systolic and 11 mmHg diastolic.









                               +                  +                  =                   20    mmHg

                                                                                         11









                                                   Percentage (95% CI) reduction in incidence




              Disease                                  One drug           Two drugs         Three drugs



              Stroke                                 29 (26 to 31)       49 (42 to 55)      63 (55 to 70)


              Ischaemic heart disease events         19 (17 to 21)       34 (29 to 40)      46 (39 to 53)




             Effects of blood pressure lowering drugs on reducing the incidence of stroke and ischemic heart disease events when
                                     used separately and in combination at half standard dose*











             *Calculated from reductions in blood pressure in table 4 and estimates of association between blood pressure and disease events at
            age 60-69 years from the Prospective Studies Collaboration.
            BMJ. 2003 ;326:1427
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