Evidence map›Paper›PMID 41655227›Full record

Observational studyEuropean heart journal. Quality of care & clinical outcomes2026

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

Furio Colivicchi, Pier Luigi Temporelli, Francesco Fattirolli, Maurizio Giuseppe Abrignani, Alessandro Alonzo, Marcello Arca, Maurizio Averna, Daniele Bertoli, Paolo Calabrò, Leonardo Calò and 18 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European heart journal. Quality of care & clinical outcomes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06275113 (BRING-UP Prevention), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06275113 unknown statusnot on this map

BRING-UP Prevention

TypeobservationalSponsorHeart Care FoundationRan2023 to 2026Enrolled6,000ConditionsIschemic Heart Disease, Cerebrovascular Disorders, Peripheral Arterial Disease
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Furio ColivicchiClinical and Rehabilitation Cardiology Department, San Filippo Neri Hospital, ASL Roma 1, 00135 Roma, Italy.
Pier Luigi TemporelliDivision of Cardiac Rehabilitation, Istituti Clinici Scientifici Maugeri, IRCCS, 28013 Gattico-Veruno, Italy.ORCID 0000-0002-6220-2471
Francesco FattirolliDepartment of Experimental and Clinical Medicine, Careggi University Hospital, University of Florence, 50134 Firenze, Italy.
Maurizio Giuseppe AbrignaniCardiology-ICCU, P. Borsellino Hospital, ASP Trapani, 91025 Marsala, Italy.
Alessandro AlonzoClinical and Rehabilitation Cardiology Department, San Filippo Neri Hospital, ASL Roma 1, 00135 Roma, Italy.
Marcello ArcaDepartment of Translational and Precision Medicine (DTPM), Sapienza University of Rome, Policlinico Umberto I, 00161 Rome, Italy.
Maurizio AvernaDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy.ORCID 0000-0003-3558-9209
Daniele BertoliRehabilitation Cardiology Department, Ospedale San Bartolomeo, 19038 Sarzana, Italy.
Paolo CalabròDivision of Cardiology, A.O.R.N. 'Sant'Anna e San Sebastiano', 81100 Caserta, Italy.ORCID 0000-0002-5018-830X
Leonardo CalòCardiology Unit, Policlinico Casilino, 00169 Rome, Italy.ORCID 0000-0002-6062-5286
Stefano CarugoDepartment of Cardio-Thoracic-Vascular Diseases, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Alberico Luigi CatapanoDepartment of Pharmacological and Biomolecular Sciences, University of Milan, 20133 Milano, Italy.
Martina CeseriANMCO Research Centre, Heart Care Foundation, Firenze, 50121 Florence, Italy.
Stefania Angela Di FuscoClinical and Rehabilitation Cardiology Department, San Filippo Neri Hospital, ASL Roma 1, 00135 Roma, Italy.
Andrea Di LenardaCardiovascular Centre, University Hospital and Health Services of Trieste, 340125 Trieste, Italy.ORCID 0000-0001-8482-4872
Gianna FabbriANMCO Research Centre, Heart Care Foundation, Firenze, 50121 Florence, Italy.
Michele Massimo GuliziaCardiology Division, Garibaldi-Nesima Hospital, 95122 Catania, Italy.
Giuseppe La RosaCardiology, Santa Barbara Hospital, 93012 Gela, Italy.
Donata LucciANMCO Research Centre, Heart Care Foundation, Firenze, 50121 Florence, Italy.
Simone MaffeiCardiology Unit, Presidio Ospedaliero San Salvatore, AST PU, 61121 Pesaro, Italy.
Alessandro NavazioCardiology Department, P.O. Santa Maria Nuova, Azienda USL di Reggio Emilia-IRCCS, 42100 Reggio Emilia, Italy.ORCID 0000-0001-8417-7783
Fabrizio OlivaCardiology Unit, Niguarda Hospital, 20162 Milano, Italy.ORCID 0000-0002-5827-996X
Francesco OrsoANMCO Research Centre, Heart Care Foundation, Firenze, 50121 Florence, Italy.
Carmine RiccioCardiovascular Department, Sant'Anna e San Sebastiano Hospital, 81100 Caserta, Italy.
Nicola ScelzaCardiology Rehabilitation, Auxilium Vitae Volterra, 56048 Volterra, Italy.
Domenico GabrielliANMCO Research Centre, Heart Care Foundation, Firenze, 50121 Florence, Italy.ORCID 0000-0003-3392-0527
Aldo Pietro MaggioniANMCO Research Centre, Heart Care Foundation, Firenze, 50121 Florence, Italy.ORCID 0000-0003-2764-6779
BRING-UP Prevention

Funding

AmgenANMCODaiichi Sankyo ItaliaHeart Care FoundationNovartis Farma SpA
6 · The paper itself

Abstract

aimsAdherence to guideline recommendations for secondary prevention appears to be inadequate, even in cardiology centres. To narrow the gap between guideline recommendations and what is implemented in clinical practice, we designed the BRING-UP Prevention project. METHODS AND

resultsBRING-UP Prevention is a nationwide, observational, prospective, multicenter study enrolling patients with a prior atherothrombotic event. The study consists of two 3-month enrolment phases followed by a 6-month follow-up, with each phase preceded by an educational intervention. Data presented here mainly focus on 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. Secondary endpoints are blood pressure, glycaemic and weight control, and smoking cessation. Over 3 months, 189 cardiology centres recruited 4790 patients. Follow-up data at 6 months were available for 4643 patients (97%) and LDL-C was available for 4334 of them. The rate of patients with LDL-C < 55 mg/dL increased from 33% to 58.1%, with absolute and relative increases of 25.1% and 76.1%, respectively. At 6 months, 94.9% of patients were prescribed statins. Atorvastatin and rosuvastatin were the most prescribed statins, mostly at high doses. Ezetimibe was prescribed in 84% of cases. PCSK9i monoclonal antibodies and inclisiran were prescribed in 8.3% of patients.

conclusionBRING-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. CLINICALTRIAL.GOV: NCT06275113.

Indexed as

Cardiovascular DiseasesCholesterol, LDLHypolipidemic AgentsSecondary PreventionAnticholesteremic AgentsFemaleFollow-Up StudiesGuideline AdherenceHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleProspective StudiesAnticholesteremic AgentsCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsGuidelineHypolipidemic agentsImplementation scienceLDL-cholesterolSecondary prevention

Identifiers

PMID41655227
PMCPMC13288733

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.