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Test Code ARR Aldosterone/Renin Ratio

Important Note

Direct patients to a hospital outpatient laboratory for collection.  Aldosterone/Renin Ratio care set availible in Cerner.  For other order platforms, when Renin Direct and Aldosterone are ordered together a ratio will automatically be performed.

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