Dear Rob
There must be a reason for such high cholesterol, if diet driven, six mouths should address that if not, familial hypercholesterolaemia need to be entertained despite the negative family history, as often the case small family tree or excellent counterbalancing risk factors might mask the possibility of FH ordelay CVD endpoints, in our FH screening programme we picked an 82 years tested positive for the FH common mutations. Have you screened urine foe protein/albuminuria?
Kind Regards
Ali
Lead pathologist
Sent from my iPhone
Dr Ali Al-bahrani MBCh.B MSc.EuChem Path. CSci. FRCPath.
Consultant Chemical Pathologist and HOD of Chemical Pathology
St Mary's Hospital
Newport
Isle of Wight
PO30 5TG
United Kingdom
Te: 01983 534859/534917 Fax. 01983 825437
> On 2 Feb 2015, at 13:13, Rob Lord <[log in to unmask]> wrote:
>
> Hello
>
> I would be grateful for advice regarding a common lipid scenario
>
> Cholesterol above 7.5 mmol/L eg 8.3 mmol/L
> No family history
> Diet = good
> No secondary causes
> No physical signes of hyperlipidaemia
> Non-smoker, normal BP, not overweight, no diabetes
> Q risk 2 <10%
>
> On the above one would assume not for statin?
>
> Should one go by the non-HDL cholesterol as a 'marker' to commence
> statin treatment then?
>
> Many thanks
>
> Rob
>
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