Ricardo López-Santi, Catedra de posgrado de Cardilogía, Hospital Italiano de La Plata, La Plata, Argentina
Ana G. Múnera-Echeverry, Departamento de Cardiología, Clínica Rosario – Cardioestudio, Medellín, Colombia
María I. Sosa-Liprandi, Unidad de Insuficiencia Cardiaca, Miocardiopatías e Hipertensión Pulmonar, Servicio de Cardiología, Sanatorio Güemes, Buenos Aires, Argentina
Gustavo Escalada-Lesme, Servicio de Cardiología, Clínica del Hospital Nacional de Itaugua, Itaugua, Paraguay
Ricardo Pavanello, Sección de Enfermedad Coronaria, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brasil
Mildren del Sueldo, Unidad de Prevención Cardiovascular, Centro de Salud y Rehabilitación Cardiovascular – CERTUS, Villa María, Córdoba, Argentina
Claudia Almonte, Unidad de Cardiología, Centro Médico de Diabetes, Obesidad y Especialidades, Santo Domingo, República Dominicana
Adrian Baranchuk, Departamento de Medicina, División de Cardiología, Queen’s University, Kingston, Ontario, Canadá

Cardiovascular diseases remain the leading cause of disease burden in Latin America and the Caribbean. Although by 2050 a decline is projected in age-standardized disability-adjusted life year rates, population growth and aging will increase absolute numbers. In this context, the Interamerican Society of Cardiology (SIAC) sets out this position statement, outlining a regional advocacy strategy aimed at influencing public policies, placing cardiovascular health on governmental agendas, and reducing gaps in diagnosis and treatment. The methodological framework includes problem assessment, political and social analysis, stakeholder mapping, communication strategies, implementation, and evaluation. National experiences are useful as replicable models. SIAC has built a regional agenda reflected in the “Mexico Declaration”, incorporating as a future axis the comprehensive approach to the cardio-renal-metabolic syndrome, given its health impact. This roadmap is grounded in scientific evidence, acknowledges regional heterogeneity, and promotes strategic alliances with Pan American Health Organization, World Heart Federation, national societies, legislators, civil society, and the private sector to achieve sustained public health transformations.

Keywords: Public policies. Access. Strategic planning. Communication. Cooperation.