Dutch Lipid Clinical Network Score (DLCNS) Online CalculatorYou are aGPNurseSpecialistResearcherPatientFamily member or friend of a patientOtherWe would like to find out who is using the FH Calculator. This question is optional but if you would like to share this we would appreciate it.Patient Name/IDOptionalDate of Birth Optional1 a). Is there a first degree relative with known premature coronary and/or vascular disease? OR is there a first degree relative with elevated cholesterol?*YesNo/UnknownA first-degree relative is the patient's parent, sibling, or child. Premature means men under 55 and women under 60.1 b). Is there a first degree relative aged under 45 with tendon xanthomata and/or arcus cornealis? OR Does the patient have a child aged under 18 with elevated cholesterol?*YesNo/UnknownA first-degree relative is the patient's parent, sibling, or child. More information about tendon xanthomat and arcus cornealis.2 a). Does the patient have premature coronary artery disease?*YesNo/UnknownPremature means men under 55 and women under 60.2 b). Does the patient have premature cerebral or peripheral vascular disease?*YesNo/UnknownPremature means men under 55 and women under 60. 3. Does the patient have arcus cornealis at <45 years?*YesNo/UnknownMore information about arcus cornealis.4. Does the patient have tendon xanthomata?*YesNo/UnknownMore information about tendon xanthomata.5. What is the patient’s highest LDL-cholesterol concentration in mmol/L?*Please enter a number from 0 to 50.6. Was the patient on lipid-lowering therapy at time of LDL-cholesterol test?*YesNo/UnknownWhat lipid-lowering therapy was the patient on at the time?*Select Medication and DosageAtorvastatin 10mgAtorvastatin 20mgAtorvastatin 40mgAtorvastatin 80mgPravastatin 10mgPravastatin 20mgPravastatin 40mgRosuvastatin 5mgRosuvastatin 10mgRosuvastatin 20mgRosuvastatin 40mgRosuvastatin 80mgSimvastatin 10mgSimvastatin 20mgSimvastatin 40mgSimvastatin 80mgEzetimibe 10mgEzetimibe/Simvastatin 10mg/10mgEzetimibe/Simvastatin 10mg/20mgEzetimibe/Simvastatin 10mg/40mgEzetimibe/Simvastatin 10mg/80mgEzetimibe/Atorvastatin 10mg/10mgEzetimibe/Atorvastatin 10mg/20mgEzetimibe/Atorvastatin 10mg/40mgEzetimibe/Atorvastatin 10mg/80mgEzetimibe/Rosuvastatin 10mg/10mgEzetimibe/Rosuvastatin 10mg/20mgEzetimibe/Rosuvastatin 10mg/40mgOtherThe estimated untreated LDL-cholesterol concentration in mmol/L isCalculated from your answers to questions 5 and 6.Medication ScoreLipid-lowering therapy score rangeGreater than or equal to 8.5Less than 8.5 and greater than or equal to 6.5Less than 6.5 and greater than or equal to 5.0Less than 5.0 and greater than or equal to 4.0Less than 4.0 This iframe contains the logic required to handle Ajax powered Gravity Forms.
