Do high results of hcv lead to hepatitis c?

High viral load?: I think you are asking if high hcv viral loads lead to the liver damage we call "hepatitis c disease". That answer is no. It may be surprising, but except for very rare circumstances, the damage caused by hcv is actually from the immune system creating damage as it tries to get rid of the persistent infection. People can have high viral load and no liver damage or low ones and have cirrhosis.