The Wales FH Cascade Testing Initiative Dr Ian McDowell
FH in Wales Ian McDowell - Heart UK
FH in Wales Ian McDowell - Heart UK
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Patient Pathway with <strong>Cascade</strong> <strong>Testing</strong><br />
???<strong>FH</strong><br />
General<br />
Practice<br />
??<strong>FH</strong><br />
Hospital<br />
(eg Cardiology)<br />
Family <strong>Cascade</strong> Programme<br />
•Full Pedigree<br />
•Family registration<br />
•Family Tracing<br />
•Test 1 st degree relatives<br />
Lipid Clinic<br />
Clinical and lipid assessment Provisional<br />
diagnosis of <strong>FH</strong> using SB criteria<br />
Genotype<br />
positive<br />
<strong>Cascade</strong> from<br />
relatives<br />
<strong>FH</strong> ü<br />
<strong>FH</strong> X<br />
Document family history<br />
Genotyping<br />
Treat hyperlipidaemia<br />
Consultation to<br />
advise on <strong>FH</strong><br />
treatment<br />
options<br />
<strong>FH</strong><br />
diagnosed<br />
Referred to<br />
lipid clinic<br />
<strong>FH</strong> excluded<br />
in relative<br />
Discharged from cascade<br />
programme:<br />
Continuing care<br />
Primary care (most)<br />
Continuing care<br />
Secondary care(some)<br />
Continuing care<br />
Paediatrics (some)
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