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Hypertension control applying the HEARTS in the Americas protocol in Trinidad: A cross-sectional study

Zahra Mendoza1, Raveed Khan2, Rohan G Maharaj2

  • 1North-Central Regional Health Authority Champs Fleurs Trinidad and Tobago North-Central Regional Health Authority, Champs Fleurs, Trinidad and Tobago.

Revista Panamericana De Salud Publica = Pan American Journal of Public Health
|December 18, 2025
PubMed

Insights

Over half of hypertensive patients in Trinidad achieved optimal blood pressure control using the HEARTS in the Americas protocol. Higher income was linked to better hypertension control, while being overweight was associated with poorer outcomes.

Area of Science:

  • Cardiovascular Health
  • Public Health
  • Hypertension Management

Background:

  • Hypertension remains a significant global health challenge.
  • Effective treatment protocols are crucial for managing blood pressure.
  • The HEARTS in the Americas initiative aims to standardize hypertension care.

Purpose of the Study:

  • To assess the prevalence of hypertension control among adult patients in North-Central Trinidad.
  • To identify risk factors associated with hypertension control within this population.
  • To evaluate the effectiveness of the HEARTS in the Americas protocol in a local setting.

Main Methods:

  • A cross-sectional survey was conducted with 287 adult hypertensive patients.
  • Data collection included anthropometric measurements, blood pressure readings, and assessment of lifestyle factors.
  • Interviewer-administered questionnaires captured information on alcohol use, smoking, physical activity, nutrition, and treatment adherence.

Main Results:

  • 52.3% of patients achieved optimal blood pressure control (systolic <140 mmHg, diastolic <90 mmHg).
  • Higher monthly income (>TTD 10,000) was significantly associated with better blood pressure control (aOR 3.536).
  • Being overweight was linked to lower odds of achieving optimal blood pressure control (aOR 0.459).

Conclusions:

  • The HEARTS in the Americas protocol demonstrated success, with over half of patients achieving optimal blood pressure control in North-Central Trinidad.
  • This study highlights the highest reported rate of hypertension control locally.
  • Future interventions should prioritize enhancing patient adherence and continuous monitoring to sustain and improve hypertension management outcomes.
Abstract

Keywords:
HypertensionTrinidad and Tobagocross-sectional studiesprimary health carerisk factors

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