Evidence map›Paper›PMID 38041725›Full record

ReviewCurrent hypertension reports2024

HEARTS in the Americas: Targeting Health System Change to Improve Population Hypertension Control.

Pedro Ordunez, Norm R C Campbell, Donald J DiPette, Marc G Jaffe, Andres Rosende, Ramon Martinez, Angelo Gamarra, Cintia Lombardi, Natalia Parra, Libardo Rodriguez and 2 more

Open access · hybridAbstract readReview
In one paragraph

Review in Current hypertension reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Stroke prevention in the Americas: from knowing to doing.Lancet regional health. Americas · 2026
    Article
  12. Article
  13. Observational
  14. Evolution in the targets for blood pressure treatment.Current opinion in nephrology and hypertension · 2026
    Review
  15. Article
  16. Article
  17. Hypertension control within the HEARTS program of south-west Trinidad: a longitudinal mixed-effects analysis.Revista panamericana de salud publica = Pan American journal of public health · 2026
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Pedro OrdunezDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA. ordunezp@paho.org.ORCID 0000-0002-9871-6845
Norm R C CampbellDepartment of Medicine, Libin Cardiovascular Institute, The University of Calgary, Calgary, AB, T2N 1N4, Canada.ORCID 0000-0002-1093-4742
Donald J DiPetteUniversity of South Carolina and University of South Carolina School of Medicine, Columbia, SC, USA.ORCID 0000-0002-5762-9104
Marc G JaffeDepartment of Endocrinology, The Permanente Medical Group, Kaiser San Francisco Medical Center, San Francisco, CA, USA.ORCID 0000-0002-5049-7815
Andres RosendeDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.ORCID 0000-0001-8173-0686
Ramon MartinezDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.ORCID 0000-0003-0641-0206
Angelo GamarraDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.ORCID 0000-0003-4760-2087
Cintia LombardiDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.ORCID 0000-0001-7376-7243
Natalia ParraDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.ORCID 0009-0007-9270-6893
Libardo RodriguezDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.ORCID 0000-0001-7066-1208
Yenny RodriguezDepartment of Non-Communicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA.ORCID 0000-0003-2026-572X
Jeffrey BrettlerSouthern California Permanente Medical Group, Department of Health Systems Science, Regional Hypertension Program, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, USA.ORCID 0000-0002-2069-9643
World Health Organization Regional Office for the Americas · USKaiser Permanente · USKaiser Permanente San Francisco Medical Center · USUniversity of Calgary · CAUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewHEARTS in the Americas is the regional adaptation of Global Hearts, the World Health Organization initiative for cardiovascular disease (CVD) prevention and control. Its overarching goal is to drive health services to change managerial and clinical practice in primary care settings to improve hypertension control and CVD risk management. This review describes the HEARTS in the Americas initiative. First, the regional epidemiological situation of CVD mortality and population hypertension control trends are summarized; then the rationale for its main intervention components: the primary care-oriented management system and the HEARTS Clinical Pathway are described. Finally, the key factors for accelerating the expansion of HEARTS are examined: medicines, team-based care, and a system for monitoring and evaluation. RECENT

findingsThus far, 33 countries in Latin America and the Caribbean have committed to integrating this program across their primary healthcare network by 2025. The increase in hypertension coverage and control in primary health care settings compared with the traditional model is promising and confirms that the interventions under the HEARTS umbrella are feasible and acceptable to communities, patients, providers, decision-makers, and funders. This review highlights some cases of successful implementation. Scaling up effective treatment for hypertension and optimization of CVD risk management is a pragmatic way to accelerate the reduction of CVD mortality while strengthening primary healthcare systems to respond effectively, with quality, and equitably, to the challenge of non-communicable diseases, not only in low-middle income countries but in all communities globally.

Indexed as

HypertensionDelivery of Health CareHumansAmericasCardiovascular diseasesHypertensionPrimary health carePublic health

Identifiers

PMID38041725
PMCPMC10904446
OpenAlexW4389268873

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.