The Pan American Health Organization (PAHO) has launched a transformative roadmap to revolutionize hypertension and cardiovascular disease management across the Americas. Published in The Lancet Regional Health – Americas, the innovative Hearts Quality Framework provides nations with an immediately actionable blueprint for preventing heart attacks and strokes through primary care systems.
Cardiovascular diseases claim over 2.2 million lives annually throughout the region, frequently affecting individuals during their most productive years. Hypertension, affecting nearly 40% of adults and dubbed the ‘silent killer,’ represents the primary risk factor. Despite the availability of affordable and effective medications, only one in three patients currently maintains controlled blood pressure levels.
PAHO Director Jarbas Barbosa emphasized that hypertension represents “the deadliest yet most manageable health challenge worldwide.” The framework transcends theoretical policy documents, serving as a practical implementation guide already saving lives in thousands of healthcare facilities.
The comprehensive framework consolidates evidence-based practices and addresses critical barriers including inaccurate blood pressure measurements, limited access to essential medications, suboptimal treatment protocols, and unnecessary monthly consultations. Key interventions mandate the use of validated automated blood pressure monitors, implement pooled procurement mechanisms for affordable medications, extend prescription durations, and expand nurses’ roles in medication adjustment.
Currently operational across 33 nations, the Hearts initiative reaches approximately 10,000 primary care facilities and serves over six million patients. Regions implementing the program fully demonstrate remarkable success, with nearly 60% of patients achieving blood pressure control—almost double the regional average.
The framework supports the ambitious 80-80-80 targets: diagnosing 80% of hypertensive individuals, treating 80% of diagnosed patients, and achieving controlled blood pressure in 80% of those treated. PAHO’s Pedro Orduñez projects that meeting these objectives could prevent over 400,000 deaths and 2.4 million hospitalizations by 2030.
Significant improvements in blood pressure control are already evident in pioneering nations including Cuba, Chile, El Salvador, and Mexico. PAHO urgently calls upon governments and healthcare providers to adopt this life-saving model to strengthen primary healthcare infrastructure and preserve millions of lives across the Americas.