HEARTS in the Americas: a global example of using clinically validated automated blood pressure devices in cardiovascular disease prevention and management in primary health care settings

Ordúñez, Pedro; Lombardi, Cíntia; Picone, Dean; Brady, Tammy M.; Campbell, Norman R.C.; Moran, Andrew E.; Padwal, Raj; Rosende, Andrés; Sharman, James E.

doi:10.1038/s41371-022-00659-z

Cited by 19 publications

(14 citation statements)

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“…The traditional model does not emphasize enough the quality of blood pressure measurement for screening, diagnosis, and treatment, which consequently leads to over- or under-treatment of hypertension. Therefore, to increase accuracy in the measurement of blood pressure, HEARTS adopted a standardized technique and recommends regular training on this technique for members of the health care team so they perform the task accurately ( 19 ) and the exclusive use of clinically validated automated blood pressure measuring devices ( 20 ).…”

Section: Hearts In the Americas Initiative: Background And Salient El...mentioning

confidence: 99%

“…HEARTS in the Americas has developed a set of strategic actions and produced practical resources to address these essential issues ( 20 ), including communication and education materials to increase advocacy, awareness, training, and certification of PHC teams, and a guidance document to help countries to strengthen their regulatory frameworks and procurement process to ensure the exclusive use of clinically validated automated BPMD ( 38 ). Accordingly, many PHC facilities implementing HEARTS have prioritized both the training and certification of their personnel in correct blood pressure measurement and the use of validated automated BPMD ( 38 – 40 ) ( Table 3 ).…”

Section: Innovating With Hearts In the Americasmentioning

confidence: 99%

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

Ordúñez

Campbell

Arcila

et al. 2022

Revista Panamericana De Salud Pública

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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.

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Section: Hearts In the Americas Initiative: Background And Salient El...mentioning

confidence: 99%

Section: Innovating With Hearts In the Americasmentioning

confidence: 99%

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

Ordúñez

Campbell

Arcila

et al. 2022

Revista Panamericana De Salud Pública

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“…El modelo tradicional no le da suficiente prioridad a la calidad de la medición de la presión arterial para la detección, el diagnóstico y el tratamiento, lo que conduce a un tratamiento excesivo o insuficiente de la hipertensión. Por lo tanto, para aumentar la exactitud de la medición de la presión arterial, HEARTS adoptó una técnica estandarizada y recomienda que los miembros del equipo de atención médica reciban en forma regular cursos de capacitación para que realicen la tarea con precisión ( 19 ), así como el uso exclusivo de dispositivos automatizados de medición de la presión arterial validados clínicamente ( 20 ).…”

Section: Iniciativa Hearts En Las Américas: Antecedentes Y Elementos ...unclassified

“…HEARTS en las Américas ha desarrollado un conjunto de acciones estratégicas y producido recursos prácticos para abordar estos temas esenciales ( 20 ). Estos elementos incluyen materiales educativos y de comunicación para aumentar la promoción, la concientización, la capacitación y la certificación de los equipos de APS, así como un documento de orientación para ayudar a los países a fortalecer sus marcos regulatorios y procesos de compra para garantizar el uso exclusivo de DMPA automatizados y clínicamente validados ( 38 ).…”

Section: Innovar Con Hearts En Las Américasunclassified

HEARTS en las Américas: innovaciones para mejorar el manejo de la hipertensión y del riesgo cardiovascular en la atención primaria

Ordúñez

Campbell

Arcila

et al. 2022

Revista Panamericana De Salud Pública

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La Iniciativa Mundial HEARTS. es la iniciativa emblemática de la Organización Mundial de la Salud para reducir la carga de las enfermedades cardiovasculares, la principal causa de muerte y discapacidad en todo el mundo. La Iniciativa HEARTS en las Américas es la adaptación regional que propone usar HEARTS como modelo para el manejo del riesgo de enfermedades cardiovasculares, incluida la hipertensión, y la diabetes en la atención primaria de salud en la Región de las Américas para el año 2025. Esta iniciativa está iniciando su sexto año de aplicación y ya incluye a 22 países y 1 380 centros de atención primaria de salud. Este informe tiene tres objetivos. En primer lugar, describir cómo surgió la Iniciativa HEARTS en las Américas y cuáles son sus principales elementos. En segundo lugar, resumir las principales innovaciones logradas para catalizar la iniciativa y mantener su aplicación. Entre estas innovaciones se encuentran: a) la introducción de factores impulsores del control de la hipertensión; b) el desarrollo de una vía clínica integral y práctica; c) la elaboración de una estrategia para mejorar la precisión de la medición de la presión arterial; d) la creación de un marco de seguimiento y evaluación; y e) la elaboración de un conjunto estandarizado de recursos de capacitación y formación. En tercer lugar, en este informe se examinan las futuras prioridades de la iniciativa. El objetivo de poner en marcha estas soluciones innovadoras y pragmáticas es crear un sistema de salud más efectivo y trasladar el enfoque de los programas cardiovasculares y de hipertensión del nivel de atención altamente especializada a la atención primaria de salud. Además, HEARTS en las Américas puede servir como modelo para unas prácticas más integrales, efectivas y sostenibles en la prevención y el tratamiento de las enfermedades no transmisibles.

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“…The resulting document [14] is a tool to be used by Ministries of Health and national regulatory authorities to develop, implement and enforce regulations for the exclusive premarket approval of validated automated BPMDs. During this process, a strategy was developed to systematize the work being conducted at the country level, with the technical cooperation by PAHO, to achieve the goal of exclusive use of validated automated BPMDs, which is comprised by several elements [15], as seen in Box 1.…”

Section: Introductionmentioning

confidence: 99%

Country experiences on the path to exclusive use of validated automated blood pressure measuring devices within the HEARTS in the Americas Initiative

et al. 2022

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The aim of the HEARTS in the Americas initiative is to promote the adoption of global best practices in the prevention and control of cardiovascular diseases, and improve the control of hypertension. HEARTS is being implemented in 21 countries and a diverse set of actions and measures are in progress to improve exclusive access in primary health care facilities to automated blood pressure measuring devices that have been validated for accuracy. The purpose of this manuscript is to illustrate these efforts, mainly in the regulatory and public procurement arena, and to present information on common challenges and solutions identified. Examples from six countries confirm the need for not only a robust regulatory framework to increase availability of validated automated blood pressure measuring devices but also a comprehensive strategic approach that involves relevant stakeholders, includes a multi-pronged approach and is associated with a national program to prevent and control non communicable diseases.

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HEARTS in the Americas: a global example of using clinically validated automated blood pressure devices in cardiovascular disease prevention and management in primary health care settings

Cited by 19 publications

References 13 publications

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

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

HEARTS en las Américas: innovaciones para mejorar el manejo de la hipertensión y del riesgo cardiovascular en la atención primaria

Country experiences on the path to exclusive use of validated automated blood pressure measuring devices within the HEARTS in the Americas Initiative

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