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Lipid Clinic

General Information

An outpatient clinic for investigation and management of patients with lipid disorders is run by consultants in Clinical Biochemistry.

Additional information on risk charts and other dietary guidance  is available.

Referrals may be made directly to:

Dr Graham Bayly,
Lipid Clinic,
Department of Clinical Biochemistry,
Bristol Royal Infirmary.

Patients will be assessed for cardiovascular risk, and advised on optimum diet, lifestyle and drug treatment to achieve target lipid levels where possible. The department has access to a full diagnostic service including genetic testing for lipid disorders where appropriate. Advice is provided on family screening. Current practice, in line with NHS and local trust policies, is that patients will be assessed, have their treatment optimised, and then be transferred back to primary care for follow-up. Telephone or written advice is also available and may avoid the need for patients to attend an outpatient appointment.

Requests for advice are welcome by letter, email (graham.bayly@UHBristol.nhs.uk) or telephone (0117 342 3245).  Please specify whether referral is for appointment or for advice only.

Specific indications for referral/advice include the following:

  • Patients having a cardiovascular event on lipid lowering treatment
  • Patients with familial hypercholesterolaemia
  • Patients at high cardiovascular risk unable to take statins because of side effects or unable to achieve treatment targets
  • Patients suspected of having a genetic hyperlpidaemia. Indications include total cholesterol >8 mmol/L (once secondary causes have been excluded), and/or family history of premature CHD or hyperlipidaemia in a first degree relative.
  • Patients with fasting triglycerides >5 mmol/L
  • Patients with HDL cholesterol <0.9 mmol/L
  • Homozygous familial hypercholesterolaemia

Specialist services

Paediatric Clinic

A joint clinic for children with familial hypercholesterolaemia and other lipid and metabolic disorders is also run with Dr Julian Shield at Bristol Royal Hospital for Children (BRCH). Referrals may be made directly to Dr Bayly or to Dr Shield at BRCH

LDL Apheresis

The Lipid clinic provides a regional service for LDL-Apheresis for the very few patients who require it. Referrals are welcome from the South West region. Exception funding for this treatment is required and will be sought for suitable patients following assessment in the clinic. Current indications are:  Heterozygous familial hypercholesterolaemia, vascular disease, and LDL cholesterol > 4 mmol/l despite maximal medical treatment and good diet.

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