Dutch Lipid Clinic Network Score (DLCNS) for FH

Answer the following questions to find out your Dutch Lipid Score:

Family history

First degree relative with known premature coronary and/or vascular disease (men aged <55 years, women aged <60 years)
--OR
First degree relative with known LDL-cholesterol above the 95th percentile for age and gender
Yes
No

First degree relative with tendinous xanthomata and/or arcus cornealis
--OR
Children aged <18 years with LDL-cholesterol above the 95th percentile for age and gender
Yes
No

Clinical history

Does the patient have premature coronary artery disease? (men aged < 55 years old, women aged < 60)

Yes
No

Does the patient have premature cerebral vascular or peripheral vascular disease? (men aged < 55 years old, women aged < 60)

Yes
No
Physical Examination

Does the patient have Tendinous Xanthomata?

Yes
No

Does the patient have Arcus Cornealis before age 45?

Yes
No
Investigation

What is the highest untreated LDL?

8.5 mmol/L or above
6.5 to 8.4 mmol/L
5.0 to 6.4 mmol/L
4.0 to 4.9 mmol/L

Dr Michael Parkinson Cardiologist

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