Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative

Digital

Autores:
DiPette, Donald J.
Goughnour, Kenneth
Zuniga, Eric
Skeete, Jamario
Ridley, Emily
Angell, Sonia
Brettler, Jeffrey
Campbell, Norm R. C.
Coca, Antonio
Connell, Kenneth
Doon, Rohit
Jaffe, Marc
Lopez-Jaramillo, Patricio
Moran, Andrew
Orias, Marcelo
Pineiro, Daniel J.
Rosende, Andres
Valdes Gonzalez, Yamile
Ordunez, Pedro
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/6097
Acceso en línea:
https://doi.org/10.1111/jch.14072
https://repositorio.udes.edu.co/handle/001/6097
Palabra clave:
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
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dc.title.spa.fl_str_mv Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
title Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
spellingShingle Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
title_short Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
title_full Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
title_fullStr Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
title_full_unstemmed Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
title_sort Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative
dc.creator.fl_str_mv DiPette, Donald J.
Goughnour, Kenneth
Zuniga, Eric
Skeete, Jamario
Ridley, Emily
Angell, Sonia
Brettler, Jeffrey
Campbell, Norm R. C.
Coca, Antonio
Connell, Kenneth
Doon, Rohit
Jaffe, Marc
Lopez-Jaramillo, Patricio
Moran, Andrew
Orias, Marcelo
Pineiro, Daniel J.
Rosende, Andres
Valdes Gonzalez, Yamile
Ordunez, Pedro
dc.contributor.author.none.fl_str_mv DiPette, Donald J.
Goughnour, Kenneth
Zuniga, Eric
Skeete, Jamario
Ridley, Emily
Angell, Sonia
Brettler, Jeffrey
Campbell, Norm R. C.
Coca, Antonio
Connell, Kenneth
Doon, Rohit
Jaffe, Marc
Lopez-Jaramillo, Patricio
Moran, Andrew
Orias, Marcelo
Pineiro, Daniel J.
Rosende, Andres
Valdes Gonzalez, Yamile
Ordunez, Pedro
dc.contributor.researchgroup.spa.fl_str_mv Masira
description Digital
publishDate 2020
dc.date.issued.none.fl_str_mv 2020-10-22
dc.date.accessioned.none.fl_str_mv 2022-02-22T14:40:14Z
dc.date.available.none.fl_str_mv 2022-02-22T14:40:14Z
dc.type.spa.fl_str_mv Artículo de revista
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url https://doi.org/10.1111/jch.14072
https://repositorio.udes.edu.co/handle/001/6097
dc.language.iso.spa.fl_str_mv eng
language eng
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dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv The JCH, The Journal of Clinical Hypertension
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dc.publisher.spa.fl_str_mv The JCH, The Journal of Clinical Hypertension
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spelling DiPette, Donald J.acb25f2f-f987-453d-8467-8e4c1d0f34ed-1Goughnour, Kennethb1267571-20fd-44c2-a55c-42494d337861-1Zuniga, Eric6b300e3e-f2ad-4348-9f37-38c64db4d16f-1Skeete, Jamario35faf5f8-dc1b-44e4-aa65-3a044ad2de38-1Ridley, Emilyac6a5ffc-7f3c-4053-8b2f-0e754d128550-1Angell, Sonia6fe2ef40-8db7-4f4c-be8b-ce3d41439709-1Brettler, Jeffreyce16fdc5-c676-47f7-80ba-0eceac680a5e-1Campbell, Norm R. C.e27ecbd7-3032-4e25-ba44-5cd050341ba8-1Coca, Antonio2eb5f1f6-32c7-425b-b229-04cc32e11aba-1Connell, Kenneth4a7dde2d-0c7e-4f06-9487-d787c799e9b0-1Doon, Rohitfa0fc5b7-afe5-4710-a342-fe8be2e42fa5-1Jaffe, Marc24092b89-c8e3-412f-bd93-c0ebb26ea43e-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Moran, Andrew6bb9a31e-f65b-42a4-b404-2691892ef7f5-1Orias, Marcelo86b2754f-993e-4290-b09e-f9d535c892dc-1Pineiro, Daniel J.cb9dcc65-dc19-4443-897c-7fb3807ba3f1-1Rosende, Andres8747bf6a-abd2-4d38-aaed-45ae67d86d87-1Valdes Gonzalez, Yamile9afb97e0-b729-482c-b0e3-59ca37dec655-1Ordunez, Pedrod1a5abd5-5fa6-4ba3-8d54-655771650077-1Masira2022-02-22T14:40:14Z2022-02-22T14:40:14Z2020-10-22DigitalHypertension is the leading risk factor for cardiovascular disease (CVD) worldwide. Despite the availability of effective antihypertensive medications, the control of hypertension at a global level is dismal, and consequently, the CVD burden continues to increase. In response, countries in Latin America and the Caribbean are implementing the HEARTS in the Americas, a community-based program that focuses on increasing hypertension control and CVD secondary prevention through risk factor mitigation. One key pillar is the implementation of a standardized hypertension treatment protocol supported by a small, high-quality formulary. This manuscript describes the methodology used by the HEARTS in the Americas program to implement a population-based standardized hypertension treatment protocol. It is rooted in a seamless transition from existing treatment practices to best practice using pharmacologic protocols built around a core set of ideal antihypertensive medications. In alignment with recent major hypertension guidelines, the HEARTS in the Americas protocols call for the rapid control of blood pressure, through the use of two antihypertensive medications, preferably in the form of a single pill, fixed-dose combination, in the initial treatment of hypertension. To date, the HEARTS in the Americas program has seen the improvement in antihypertensive medication formularies and the establishment of pharmacologic treatment protocols tailored to individual participating countries. This has translated to significant increases in hypertension control rates post-program implementation in these jurisdictions. Thus, the HEARTS in the Americas program could serve as a model, for not only the Americas Region but globally, and ultimately decrease the burden of CVD.Ciencias Médicas y de la Salud11 papplication/pdfhttps://doi.org/10.1111/jch.14072https://repositorio.udes.edu.co/handle/001/6097engThe JCH, The Journal of Clinical HypertensionUSA22952285ScopusThe JCH, The Journal of Clinical Hypertension© 2020 The Authors, Wiley Periodicals LLC. 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