Variable | Criteria | Score |
---|---|---|
Family history | First-degree relative with premature CAD*, or first degree relative with LDL-C > 95th centile | 1 |
First-degree relative with tendon xanthomata and/or corneal arcus, or children < 18 years with LDL-C > 95th centile | 2 | |
Clinical history | Premature CAD* | 2 |
Premature cerebral or peripheral vascular disease* | 1 | |
Physical examination | Tendon xanthomata | 6 |
Corneal arcus < 45 years | 4 | |
LDL-C | > 8.5 mmol/l (> 325 mg/dl) | 8 |
6.5–8.4 mmol/l (251–325 mg/dl) | 5 | |
5.0–6.4 mmol/l (191–250 mg/dl) | 3 | |
4.0–4.9 mmol/l (155–190 mg/dl) | 1 | |
DNA analysis | Functional mutation in LDLR, apoB or PCSK9 gene | 8 |
Definite FH | Score > 8 | |
Probable FH | Score 6–8 | |
Possible FH | Score 3–5 | |
No diagnosis | Score < 3 |
*Male < 55 years, female < 60 years. CAD – coronary artery disease, LDL-C – low density lipoprotein cholesterol.