# Cardioalianza cardiovascular healthcare advocacy > Live situation record from CLSTR: https://clstr.news/situations/cardioalianza-cardiovascular-healthcare-advocacy > Updated: 2026-09-28T05:14:00.000Z. Sources: 14. Developments: 2. The Spanish patient organization Cardioalianza has launched a manifesto titled ‘Que ningún corazón se quede atrás’ (Let no heart be left behind) to advocate for equitable cardiovascular healthcare. Released in observance of World Heart Day, the initiative outlines ten specific commitments designed to ensure that prevention, diagnosis, treatment, and recovery are not dictated by a patient’s age, gender, socioeconomic status, or geographic location. The proposed commitments focus on patient-centered decision-making, effective prevention, early diagnosis, and the reduction of territorial inequalities. Additional priorities include incorporating a gender perspective, facilitating treatment access, reinforcing rehabilitation, addressing emotional health, and promoting research. These efforts come amid data showing that circulatory system diseases were the second leading cause of death in Spain in 2025, accounting for 25.7 percent of total deaths. Globally, the World Health Organization identifies cardiovascular diseases as the leading cause of death, responsible for approximately 32 percent of all fatalities. ## Timeline ### 2026-09-28: Cardioalianza issues ten commitments for cardiovascular care Cardioalianza has issued a ten-point manifesto to improve cardiovascular care, aiming to reduce inequalities in diagnosis, treatment, and prevention for heart disease patients. 6 sources. https://clstr.news/cluster/cardioalianza-issues-ten-commitments-for-cardiovascular-care ### 2026-09-21: Cardioalianza calls for equitable cardiovascular healthcare Cardioalianza is calling for more equitable cardiovascular care to combat rising mortality rates and health inequalities in Spain and globally, emphasizing early prevention and better access to treatment. 9 sources. https://clstr.news/cluster/cardioalianza-calls-for-equitable-cardiovascular-healthcare --- Cite as: Cardioalianza cardiovascular healthcare advocacy. CLSTR, https://clstr.news/situations/cardioalianza-cardiovascular-healthcare-advocacy