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Familial hypercholesterolaemia is genetic; when people are diagnosed, their families should be tested.
However, where there is familial hypercholesterolaemia, it's reasonable to suggest that statins are beneficial."
Next, where there is a history of premature heart disease, check for very high blood cholesterol levels (familial hypercholesterolaemia) - see netdoctor.co.uk/diseases/facts/familialhypercholesterolaemia.
"It's long overdue that familial hypercholesterolaemia services come up to scratch to stop lives across the UK being needlessly lost."
Familial hypercholesterolaemia commonly presents with Achilles tenosynovitis.
This condition is known as 'familial hypercholesterolaemia'(too much cholesterol in the blood) and it is usually treated with drugs and a strict diet.
I plan to give up statins, unless a genetic test reveals I do have familial hypercholesterolaemia, in which case I will take medical advice.
The author, Professor Steve Humphries, said: "Undoubtedly it is cost effective to test and treat familial hypercholesterolaemia.
The indications were that I may have inherited a condition called familial hypercholesterolaemia, where cholesterol is typically 7.5 or greater and the risk of early heart attack is increased.
Around one in 500 people in the UK have familial hypercholesterolaemia, which causes high levels of "bad" cholesterol (LDL) in the blood.
He championed cascade testing for familial hypercholesterolaemia with the British Heart Foundation so that Wales became the first UK country to introduce it successfully.
Genetic contributions are usually due to the additive effects of multiple genes, though occasionally may be due to a single gene defect such as in the case of familial hypercholesterolaemia.
A Department of Health spokesperson said: "There is clear guidance and support for the NHS on managing familial hypercholesterolaemia - including guidance on testing and diagnosis.
Professor Peter Weissberg, medical director at the British Heart Foundation, said: "It's frustrating and unacceptable that families at risk of familial hypercholesterolaemia aren't receiving the help and attention they deserve from the health service.
Familial hypercholesterolemia (abbreviated FH, also spelled familial hypercholesterolaemia) is a genetic disorder characterized by high cholesterol levels, specifically very high levels of low-density lipoprotein (LDL, "bad cholesterol"), in the blood and early cardiovascular disease.
The suggestion that LDL may be having a primary effect is supported by the finding of premature atherosclerosis in the presence of most primary hyperlipidaemia, in particular familial hypercholesterolaemia, in which elevated LDL levels are characteristically found.
But while working in Paris ('It was the first time I had been exposed to beautiful unpasteurised cheeses and wonderful foie gras'), Malouf, who suffers from familial hypercholesterolaemia, (a genetic condition in which the body produces too much cholesterol), ended up in hospital undergoing triple heart bypass surgery.