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. 2018 Aug;13(1):14–20. doi: 10.15420/ecr.2018:10:2

Table 1: Clinical Criteria for the Diagnosis of Heterozygous Familial Hypercholesterolaemia from the Dutch Lipid Clinic Network.

Family history Score
1. First-degree relative with premature coronary heart disease
or
2. First-degree relative with LDL cholesterol >95th percentile by age and gender for country
3. First-degree relative with xanthoma and/or arcus cornealis
or
4. Children <18 years with LDL cholesterol >95th percentile by age and gender for country
1
1
2
2
Clinical history
1. Premature coronary heart disease
2. Premature cerebral or peripheral vascular disease
2
1
Physical examination
1. Tendon xanthoma
2. Arcus cornealis <45 years
6
4
LDL cholesterol
1. >8.5 mmol/l
2. 6.5–8.4 mmol/l
3. 5.0–6.4 mmol/l
4. 4.0–4.9 mmol/l
8
5
3
1
DNA analysis
1. Causative mutation in LDLR, APOB or PCSK9 8
Clinical diagnosis
Definite
Probable
Possible
Unlikely
>8
6­–8
3–5
<3

Source: Nordestgaard et al., 2018.[7] Published with permission from Oxford University Press.