Despite the importance of early detection, FH remains under-diagnosed not in the United States but also throughout the remainder of the world.  Data from the World Health Organization (Figure) shows that in the United States, <10% of patients with FH were diagnosed, but even in areas where there are increased populations of FH patients, such as in Canada, and specifically in areas of Quebec, only 17% of FH patients are accurately diagnosed.  So on the surface, this certainly is not encouraging.