Skip to content
left end
left end
right end

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 Heart Diagram

  • 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?

FH 3 people

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

FH 2 people

Secretary: 0117 342 7708

For general enquiries and advice:     


FH Cascade Family Screening Service:

Direct referral for screening of relatives for genetically confirmed FH in families.

Clinical Nurse Specialist: Lisa Gritzmacher FH family graphic
Dept. Clinical Biochemistry 
Bristol Royal Infirmary
Marlborough Street

Weston General Hospital: Dr Wycliffe Mbagaya   FH Dr Mbagaya
Weston General Hospital                                                        
Grange Road
BS23 4TQ


For further information on Familial Hypercholesterolaemia please visit  British Heart Foundation and HEART UK websites.