Lipid Disorders

This condition is treated in the Cardiology clinic.

Pre-referral work-up

History

All referrals should comply to the referral standards and must include:

• Details of all treatments offered and efficacy
• Relevant previous medical history and co-morbidities (especially cardiovascular disease)
• BP

Tests

• ELFTs, HbA1c, TSH results
• Recent (within 3 months) fasting lipid results (cholesterol/ triglyceride/ HDL-cholesterol/ LDL-cholesterol

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

Pathology:

• LFT
• HbA1c
• TSH
• Recent (within 3 months) fasting lipid results (chol, TG, HDL, LDL)

Imaging:

• Nil

Investigations:

• BP

For more information please see the HealthPathways Tasmania website.

Clinic appointments

🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Urgent (Category 1)

🚩 Total triglyceride over 20mmol/L in patient having had episode of pancreatitis

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.

We will endeavour to see these patients within one week, or sooner if clinically indicated.

Semi-urgent (Category 2)

* Patients with prior ACS, polyvascular disease and rapidly progressive CVD* and (select either):

- LDLover 2.6mmol/L despite (or intolerance to) medical therapy
or 
- DLNC* Score over 6 (i.e. likely heterozygous family history)

* Dutch Lipid Network Score

2nd or subsequent CV event despite appropriate therapy and compliance

Routine (Category 3)

* Significantly raised LDL (over 4 mmol/L) in high CVD risk patients despite initial medical therapy
* Difficult to control LDL (over 3.3 mmol/L) in CHD patients with familial hypercholesterolemia
* Severe mixed dyslipidaemia (TC and TG totalling more than 10 mmol/L)
* Young patients with dyslipidaemia with a family history of premature CAD or possible FH (DLNC 4-6)
* Severe hypertriglyceridemia (over 10 mmol/L)

Next available appointment usually within eight weeks

Availability

North

Launceston General Hospital
Level 3 - Specialist Clinics

Phone: 1300 977 694
Fax: 03 6777 5227

North West

Mersey Community Hospital
Phone: 1800 636 455
Fax: 6441 5928

South

Wellington Clinics

General cardiology clinic enquiries and appointments:
Phone: 03 6166 0061
Fax: 03 6231 0101

Pacemaker and cardiac device enquiries and clinic appointments:
Phone: 03 6166 0064

Royal Hobart Hospital
Level 2 (D Block) - Cardiology and Echo Department

General cardiology clinic enquiries and appointments:
Phone: 03 6166 8620 or 03 6166 8860
Fax: 03 6234 3982

Nurse Practitioner: Chronic Cardiac Care/Heart Failure
Phone: 03 6166 7398

Pulmonary Hypertension Services
Phone: 03 6166 8034