PT - JOURNAL ARTICLE AU - Stefan Mülverstedt AU - Per Rossen Hildebrandt AU - Eva Prescott AU - Merete Heitmann TI - Screening for potential familial hypercholesterolaemia in general practice: an observational study on prevalence and management AID - 10.3399/bjgpopen20X101142 DP - 2021 Apr 01 TA - BJGP Open PG - bjgpopen20X101142 VI - 5 IP - 2 4099 - http://bjgpopen.org/content/5/2/bjgpopen20X101142.short 4100 - http://bjgpopen.org/content/5/2/bjgpopen20X101142.full SO - BJGP Open2021 Apr 01; 5 AB - Background Familial hypercholesterolaemia (FH) is a common genetic disorder causing premature cardiovascular disease (CVD). The estimated prevalence of probable or definite FH is 1:200–250 individuals, according to the Dutch Lipid Clinic Network (DLCN) criteria for FH. In Denmark approximately 12% of cases are identified.Aim To provide knowledge of the prevalence and management of FH in general practice.Design & setting A collaboration between six general practice clinics and the department of cardiology at Bispebjerg hospital in Denmark.Method A total of 9652 patient records were screened for hypercholesterolaemia. All patients with a low-density lipoprotein cholesterol (LDL-C) ≥5.0 mmol/l were included in the study population and their records were investigated in order to perform a diagnostic score according to the DLCN criteria.Results It was found that 2382 individuals had a lipid measurement available, and 236 of those had an LDL-C ≥5.0 mmol/l. In total, 34 individuals were found to have probable or definite FH (DLCN score ≥5). Only three individuals had been diagnosed and treated with lipid-lowering therapy. Of 236 individuals with high LDL-C, only 25 individuals met their treatment target. By excluding patients with signs of secondary hypercholesterolaemia, a subgroup of 115 individuals with potential primary hypercholesterolaemia was established. Among those, 21 individuals were found to have probable or definite FH (1:114 individuals).Conclusion The study shows that there is a massive lack of recognition of FH in general practice. Despite a measured high LDL-C, the diagnosis is rarely made and only a few patients are treated accordingly. Of the patients undergoing treatment, only a few reached their treatment target.