
Aim to lower the risk of acute pancreatitis
A percentage reduction in triglycerides may not be sufficient in Familial Chylomicronaemia Syndrome (FCS) - guidelines state that the risk of acute pancreatitis is clinically significant at triglycerides >10 mmol/L (880 mg/dL)1
FCS can be diagnosed genetically or clinically2,3
If genetic testing poses a challenge, common clinical criteria can be used to support diagnosis2,3
Factors that can clinically characterise FCS include:2-4
- Persistent triglyceride levels above 10 mmol/L (880 mg/dL)
- Prior history of acute pancreatitis
- Recurrent hospitalisations for severe abdominal pain without other explainable cause
- History of childhood pancreatitis
- Family history of hypertriglyceridaemia-induced acute pancreatitis
In cases of recurrent acute pancreatitis, consider a diagnosis of FCS2,5,6
The PRIMARY GOAL of FCS treatment is to reduce acute pancreatitis risk1,7,8
Affecting more than 50% of people with FCS, acute pancreatitis is the most severe potentially fatal complication.4 To reduce the risk of acute pancreatitis, the primary goal of FCS treatment is lowering triglyceride levels to a clinically significant threshold1,8
People with triglycerides >10 mmol/L (880 mg/dL) face a 14x greater risk of acute pancreatitis compared with people with normal triglyceride levels9
People with FCS report that their disease impacts their mental well-being and social lives10
In a survey of 166 people with FCS, one of the most common emotional symptoms is constant uncertainty about the possibility of acute pancreatitis or pain10

Uncertainty about acute pancreatitis or pain

Anxiety, fear, or worry about health

Uncertainty about what or how to eat

Feeling out of control because of their FCS
Guidelines support the ≤10 mmol/L (880 mg/dL) target1
Clinical guidelines recommend targeting triglycerides ≤10 mmol/L (880 mg/dL) to reduce the risk of acute pancreatitis1
The European Society of Cardiology and European Atherosclerosis Society Guidelines for the management of dyslipidaemias
LOWER THE RISK OF ACUTE PANCREATITIS BY AIMING TO MAINTAIN THE GUIDELINE-RECOMMENDED TARGET OF ≤10 MMOL/L (880 mg/dL)1
Do current approaches enable you to aim low enough in FCS?
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Abbreviations
AP, acute pancreatitis; FCS, Familial Chylomicronaemia Syndrome.
Show References
- Mach F, Baigent C, et al. Eur Heart J. 2020;41(1):111–88.
- Larouche MB, Watts GFC, et al. Curr Opin Endocrinol Diabetes Obes. 2025;32(2):75–88.
- Moulin P, Dufour R, et al. Atherosclerosis. 2018;275:265–72.
- Javed F, Hegele RA, et al. J Clin Lipidol. 2025;19(3):382–403.
- Stroes E, Moulin P, et al. Atheroscler Suppl. 2017;23:1–7.
- Gaudet D, Alexander VJ, et al. N Engl J Med. 2014;371(23):2200–6.
- Gaudet D, Stevenson M, et al. Lipids Health Dis. 2020;19(1):120.
- Shamsudeen I, Hegele RA, et al. Expert Rev Clin Pharmacol. 2022;15(4):395–405.
- Sanchez RJ, Ge W, et al. Lipids Health Dis. 2021;20(1):72.
- Davidson M, Stevenson M, et al. J Clin Lipidol. 2018;12(4):898–907.