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

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dc.contributor.authorDiPette, Donald J.
dc.contributor.authorGoughnour, Kenneth
dc.contributor.authorZuniga, Eric
dc.contributor.authorSkeete, Jamario
dc.contributor.authorRidley, Emily
dc.contributor.authorAngell, Sonia
dc.contributor.authorBrettler, Jeffrey
dc.contributor.authorCampbell, Norm R. C.
dc.contributor.authorCoca, Antonio
dc.contributor.authorConnell, Kenneth
dc.contributor.authorDoon, Rohit
dc.contributor.authorJaffe, Marc
dc.contributor.authorLopez-Jaramillo, Patricio
dc.contributor.authorMoran, Andrew
dc.contributor.authorOrias, Marcelo
dc.contributor.authorPineiro, Daniel J.
dc.contributor.authorRosende, Andres
dc.contributor.authorValdes Gonzalez, Yamile
dc.contributor.authorOrdunez, Pedro
dc.contributor.researchgroupMasiraspa
dc.date.accessioned2022-02-22T14:40:14Z
dc.date.available2022-02-22T14:40:14Z
dc.date.issued2020-10-22
dc.descriptionDigitalspa
dc.description.abstractHypertension 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.spa
dc.description.researchareaCiencias Médicas y de la Saludspa
dc.format.extent11 pspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.doihttps://doi.org/10.1111/jch.14072
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/6097
dc.language.isoengspa
dc.publisherThe JCH, The Journal of Clinical Hypertensionspa
dc.publisher.placeUSAspa
dc.relation.citationendpage2295spa
dc.relation.citationstartpage2285spa
dc.relation.indexedScopusspa
dc.relation.ispartofjournalThe JCH, The Journal of Clinical Hypertensionspa
dc.rights© 2020 The Authors, Wiley Periodicals LLC. The Pan American Health Organization (PAHO) retains copyright and all other rights in the manuscript of this article as submitted for publication.spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.sourcehttps://onlinelibrary.wiley.com/doi/full/10.1111/jch.14072spa
dc.titleStandardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiativespa
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dcterms.audienceTodas las Audienciasspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
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