August 31, 2026 · Journal of the American College of Cardiology · DOI: 10.1016/j.jacc.2026.08.026

Protocol-Based Implementation of Early Intensive Lipid Management After Acute Coronary Syndrome: The BRIDGE Trial

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The BRIDGE Trial aimed to determine whether a protocol-based implementation strategy could improve the timely achievement of guideline-recommended low-density lipoprotein cholesterol (LDL-C) targets in patients after an acute coronary syndrome (ACS). The results indicated that this structured approach significantly increased the rates of achieving LDL-C levels below 70 mg/dL and 55 mg/dL compared to standard lipid management. These findings suggest that an algorithm-based care pathway can enhance the implementation of intensive lipid-lowering therapy in routine clinical practice following ACS.

Kazuma Oyama, Jun Takahashi, Takahiro Funaki, Shunsuke Oyamada, Satoru Horiguchi, Akihiro Nakamura, Takuya Yagi, Kazunori Ogata, Hirokazu Yahagi, Kaoru Iwabuchi, Shigeto Namiuchi, Tomoko Tomioka, Masafumi Sugi, Satoshi Yasuda, BRIDGE Investigators

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