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What are the signs and symptoms? For many people with familial hypercholesterolemia (FH), a heart attack, stroke or dying suddenly and at a young age may be the first sign.

Other possible signs may include:

  • Angina, or chest pain or discomfort due to cholesterol buildup in the heart’s arteries
  • Peripheral vascular disease, which is when cholesterol builds up in arteries in the legs, which may result in pain upon walking that usually subsides when resting
  • Bumps on your tendons (called xanthomas), around your eyes (called xanthelasma) or on the tops of your hands  
  • White ring around the upper and lower portions of the cornea in the eye, especially before age 45
  • Carotid artery disease, which is a narrowing of the blood vessels in the neck that carry blood from the heart to the brain
  • Last Edited 03/31/2019