NICE recommends cascade testing by the age of 10, either through DNA testing or LDL cholesterol concentration measurements, to identify patients who will benefit from early treatment.
GPs should take a thorough family history and, following test results, refer the patient to a specialist for cascade testing.
Dr Rubin Minhas, NICE FH guideline development chairman and a GP in Medway, Kent, said: ‘Once an individual is diagnosed with FH, the condition can be managed, usually with a statin, to help them reach normal life expectancy.’
At the moment 50 per cent of men with untreated FH will have a heart attack by age 50, compared with 30 per cent of women by the age of 60.
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