The Lancet Primary Care · May 2026

HEARTS 2.0: an implementation-oriented clinical pathway for integrated care of hypertension and cardiovascular–kidney–metabolic conditions in primary health care in the Americas

By Ordunez P, Rosende A, Angell SY et al.

With population ageing, the growing prevalence of high blood pressure, obesity, diabetes, and chronic kidney disease is stretching health systems’ capacity. These conditions frequently coexist, giving rise to cardiovascular–kidney–metabolic syndrome (CKM), increasing the risk of multiorgan dysfunction and adverse cardiovascular outcomes.1

doi.org/10.1016/j.lanprc.2026.100161Open accessIndustry & policy