HEARTS Quality Framework Launched too Strengthen Cardiovascular Care in the Americas

The new HEARTS Quality Framework, published in The Lancet, provides strategies to strengthen cardiovascular care in the Americas, potentially preventing 400,000 deaths by 2030.

Washington, D.C., December 15, 2025 (PAHO)- The Pan American Health Organization (PAHO) has launched the new HEARTS Quality Framework, a practical guide published in The Lancet Regional Health – Americas. This framework offers countries immediate strategies to improve hypertension and cardiovascular risk management,prevent heart attacks and strokes,and deliver better care through primary health care services,bringing healthcare closer to communities.

The Cardiovascular Disease Burden in the Americas

Cardiovascular diseases (CVDs) are a leading cause of death in the Americas, accounting for a meaningful proportion of all fatalities. Addressing this health crisis requires a comprehensive approach focused on prevention, early detection, and effective management of risk factors like hypertension. The HEARTS initiative, and now this Quality Framework, aims to provide that structure.

What is the HEARTS Initiative?

HEARTS (Hypertension and Cardiovascular Risk Management in Primary Health Care) is a global initiative led by the world Health Organization (WHO) and PAHO. It focuses on improving the management of hypertension and cardiovascular disease in primary health care settings. The initiative utilizes a package of interventions designed to improve access to essential medicines, strengthen health systems, and empower patients to take control of their health. Learn more about the HEARTS initiative on the WHO website.

Key Components of the HEARTS Quality Framework

The newly released Quality Framework builds upon the existing HEARTS initiative by providing a structured approach to quality betterment. It focuses on several key areas:

• Standardized Protocols: Implementing consistent guidelines for diagnosing and treating hypertension and cardiovascular risk factors.
• Medication Availability: Ensuring a reliable supply of essential medicines for cardiovascular health.
• Data Monitoring & Reporting: Tracking key indicators to measure progress and identify areas for improvement.
• Patient-Centered Care: Empowering patients through education and self-management support.
• Health System Strengthening: Investing in primary health care infrastructure and workforce training.

Potential Impact: Preventing 400,000 Deaths

PAHO estimates that widespread adoption of the HEARTS quality Framework could prevent an estimated 400,000 deaths in the Americas by 2030. This significant reduction in mortality would be achieved through improved prevention, early detection, and effective management of cardiovascular risk factors.

Looking Ahead

The launch of the HEARTS Quality Framework represents a crucial step forward in the fight against cardiovascular disease in the Americas. PAHO is committed to supporting countries in implementing this framework and achieving its enterprising goals.Continued investment in primary health care, coupled with a focus on quality improvement, will be essential to reducing the burden of cardiovascular disease and improving the health and well-being of people throughout the region.

Key Takeaways:

• The HEARTS quality Framework provides a practical guide for strengthening cardiovascular care in the Americas.
• The framework focuses on improving hypertension and cardiovascular risk management in primary health care.
• Widespread adoption could prevent an estimated 400,000 deaths by 2030.
• The initiative builds upon the existing HEARTS initiative led by WHO and PAHO.