Another way of screening for familial hypercholesterolaemia

doi:10.1136/bmj.325.7359.340

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Peter F Tyerman, general practitioner,
Gillian V Tyerman (tyerman@medcal.co.uk), general practitioner

Rotherham Road Medical Centre, Barnsley S70 3QF

EDITOR—We would like to suggest that there is an easier and more cost effective method of screening the population for hyperlipidaemia than that discussed in Marks et al's paper.1

The diagnosis of familial hyperlipidaemia requires a family history. In primary care one would expect patients to have a check of blood pressure at least every five years. A screen of family history might on average add 30 seconds to this consultation.

In our practice (list size 5200), using a cost of £25/h, this would …