Test Code ARR Aldosterone/Renin Ratio
EHR Test Codes
| Test Code | Test Name | |
| Atlas | ||
| Cerner | Aldosterone/Renin Raio |
Specimen Requirements
Renin Direct:
Preparation of Patient:
Fasting recommended but not required. Draw patient in mid morning, after patient bas been upright and out of bed for > 2 hours. Have patient seated 5 - 10 minutes before collection.
Container Type:
6mL EDTA Lavender Top Tube
Specimen Type:
Plasma
Specimen Volume:
3.0 mL Plasma minimum 1.0 mL
Specimen Handling/Transport:
Keep sample at room temperature and transport immediately to laboratory for processing.
Centrifuge in a non-refrigerated centrifuge. Exposing samples to cold temperature (4°C or below) will activate pro-renin and will falsely elevate results.
For non-MMC hospital laboratories freeze plasma immediately and transport plasma aliquot frozen.
Specimen Stability/Storage:
5 days frozen
Specimen Rejection:
Reject for any hemolysis
Reject if sample has been exposed to cold temperatures (4°C or below) at any point before the sample is frozen.
Aldosterone:
Preparation of Patient:
Patient should be drawn in an upright position. Collect samples mid-morning after the patient has been up for at least 2 hrs. Have the patient remain seated for 5-10 minutes prior to the draw.
Container Type:
Gold Top 6mL SST Gel & Clot Activator Tube
Specimen Type:
Serum
Specimen Volume:
2.5 mL Serum minimum 1.0 mL
Specimen Handling/Transport:
Transport refrigerated 2 - 8°C
Specimen Stability/Storage:
5 days refrigerated 2 - 8°C,
4 weeks frozen -20°C
Specimen Rejection:
Gross hemolysis
Gross lipemia
Gross icterus
Performing Laboratory
Munson Medical Center Laboratories
Chemistry Department
Priority, Frequency, & Turnaround
Priority:
Non-Emergent
Frequency:
Monday, Thursday
Turnaround:
0 - 4 days
Methodology
Chemiluminescence Immunoassay
Reporting
See individual tests for more information.
Clinical Significance
Aldosterone to renin ratio (ARR) is a screening test for primary aldosteronism (PA) a common cause of secondary hypertension. An elevated ratio combined with high aldosterone suggests a positive screen.
See individual tests for more information.
CPT Code(s)
Renin Direct - 84244
Aldosterone - 82088