Prevention & lipids

Sustainable and effective lipid-lowering management: prevention strategies from the BRING-UP prevention study

Eur Heart J Qual Care Clin OutcomesPublished nationwide, observational, prospective, multicenter study

Authors' conclusion

BRING-UP prevention achieved its primary goal to increase the percentage of patients at the LDL-C goal, demonstrating that, in many patients, this goal can be achieved by increasing the use of low-cost therapies.

Study context

Population
Patients with a prior atherothrombotic event, enrolled by cardiology centresrecruited by 189 cardiology centres over 3 months (first enrolment phase), follow-up data at 6 months for 4643 patients (97%), LDL-C available for 4334 of them
Participants
4,790 patients
Exposure
The percentage of patients at goal for LDL-cholesterol (LDL-C) (<55 mg/dL) at the 6-month follow-up in the recently completed first enrolment phase
Outcome
Percentage of patients at goal for LDL-C (<55 mg/dL)
Follow-up
6-month follow-up
Methodological detailstwo 3-month enrolment phases followed by a 6-month follow-up, each phase preceded by an educational intervention
  • Two 3-month enrolment phases followed by a 6-month follow-up
  • Each phase preceded by an educational intervention

Main finding

As reported in the abstract

Rate of patients with LDL-C < 55 mg/dL, from

33%

Rate of patients with LDL-C < 55 mg/dL, to

58.1%

Absolute increase

25.1%

Relative increase

76.1%

Observational data: associations, not effects.

Secondary outcomes

Lipid-lowering prescriptions · 6 months

Patients prescribed statins
94.9%
Ezetimibe prescribed
84%
PCSK9i monoclonal antibodies and inclisiran prescribed
8.3%
Atorvastatin and rosuvastatin the most prescribed statins, mostly at high doses

Follow-up completeness · 6 months

Follow-up data available
4643 patients (97%)

Original publication

Sustainable and effective lipid-lowering management: prevention strategies from the BRING-UP prevention study. Eur Heart J Qual Care Clin Outcomes. Published 8 February 2026. doi:10.1093/ehjqcco/qcag021

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