Familial Hypercholesterolaemia Service
The familial hypercholesterolaemia (FH) service offers
diagnosis, treatment and family screening for this inherited
condition via the lipid clinics.
What is
FH?

- FH is a common genetic inherited condition.
- Causes high cholesterol from birth.
- Leads to early heart disease if left untreated.
- 50% of people with untreated FH will have a heart attack by age
55.
- 12% of heart attacks under 60 years of age caused by FH.
- Life expectancy normal if treated.
High cholesterol leads to a build up of fatty deposits
in the arteries, restricting blood flow and ultimately causing a
blockage.
Key: Patient (P)
Professional (HCP)
P- How do I know if I have FH?
- Angina or Heart Attack may be the first symptoms experienced
unless high cholesterol is found and treated
first.
- Have you had heart disease (under 55 years of age) or high
cholesterol?
- Does heart disease (under age 55) or high cholesterol run in
your family?
- High cholesterol does not give you any symptoms.
- High cholesterol doesn't make you feel unwell.
P- What do I do if I think I have FH or it runs in my
family?
- See your GP and ask for referral to your local lipid
clinic
- If appropriate you will be offered testing for FH
- If you are found to have FH you will be offered treatment which
significantly and very quickly reduces your risk for premature
heart disease.
HCP- When should I consider FH?
- High cholesterol of 7.5 or greater in your patient and
- History of high cholesterol or ischaemic heart disease in
your patient or their family or
- History of heart attacks or heart bypass under the age of 55 in
your patient or their family
HCP- How do I refer patients?

Refer to the lipid clinic for assessment of FH:
Bristol Service: Dr Graham Bayly & Dr
Andrew Day
Bristol Royal Infirmary
Dept. Clinical Biochemistry
Marlborough Street
Bristol
BS2 8HW
Secretary: 0117 342 7708
For general enquiries and advice: lipidclinic@uhbristol.nhs.uk
FH Cascade Family Screening
Service:
Direct referral for screening of relatives for genetically
confirmed FH in families.
Clinical Nurse Specialist: Lisa
Gritzmacher 
Dept. Clinical Biochemistry
Bristol Royal Infirmary
Marlborough Street
Bristol
BS2 8HW
Weston General Hospital: Dr Wycliffe Mbagaya

Weston General Hospital
Grange Road
Weston-Super-Mare
BS23 4TQ
For further information on Familial
Hypercholesterolaemia please visit
British Heart Foundation and HEART
UK websites.