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HEARTS in the Americas: innovations for improving hypertension and cardiovascular disease risk management in primary care


Ordunez, P and Campbell, NR and Arcila, GPG and Angell, SY and Lombardi, C and Brettler, JW and Rodriguez Morales, YA and Connell, KL and Gamarra, A and DiPette, DJ and Rosende, A and Jaffe, MG and Rodriguez, L and Pineiro, DJ and Martinez, R and Sharman, JE, HEARTS in the Americas: innovations for improving hypertension and cardiovascular disease risk management in primary care, Pan American journal of public health, 46, (Special Issue) Article e96. ISSN 1680-5348 (2022) [Refereed Article]

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Copyright (2022) by Pan American Journal of Public Health [PAHO]. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License,, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL. Open access logo and text by PLoS, under the Creative Commons Attribution-Share Alike 3.0 Unported license (

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DOI: doi:10.26633/RPSP.2022.96


Global Hearts is the flagship initiative of the World Health Organization to reduce the burden of cardiovascular diseases, the leading cause of death and disability worldwide. HEARTS in the Americas Initiative is the regional adaptation that envisions HEARTS as the model for cardiovascular disease risk management, including hypertension and diabetes, in primary health care in the Americas by 2025. This initiative is entering its sixth year of implementation and now includes 22 countries and 1 380 primary health care centers. The objectives of this report are three-fold. First, it describes the emergence and the main elements of HEARTS in the Americas. Secondly, it summarizes the main innovations developed to catalyze and sustain implementation of the initiative. These innovations include: a) introduction of hypertension control drivers; b) development of a comprehensive and practical clinical pathway; c) development of a strategy to improve the accuracy of blood pressure measurement; d) creation of a monitoring and evaluation platform; and e) development of a standardized set of training and education resources. Thirdly, this report discusses future priorities of the initiative. The goal of implementing these innovative and pragmatic solutions is to create a more effective health system and shift the focus of cardiovascular and hypertension programs from the highly specialized care level to primary health care. In addition, HEARTS in the Americas can serve as a model for more comprehensive, effective, and sustainable noncommunicable disease prevention and treatment practices.

Item Details

Item Type:Refereed Article
Keywords:blood pressure, hypertension, public health
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Diagnosis of human diseases and conditions
UTAS Author:Sharman, JE (Professor James Sharman)
ID Code:154113
Year Published:2022
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-10-31
Last Modified:2022-12-07
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