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Walk-in-lab Lab Test: Aldosterone:Renin Ratio Blood Test

Aldosterone:Renin Ratio Blood Test

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The Aldosterone:Renin Ratio Blood Test checks if your adrenal glands are making too much of a hormone called aldosterone, which can cause high blood pressure, low potassium, and tiredness, and helps your doctor find out if a hormone problem is causing these symptoms.

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What is the purpose of this test?

The Aldosterone: Renin Ratio Blood Test is used to screen for primary aldosteronism, a condition where the adrenal glands produce too much aldosterone, a hormone that helps regulate blood pressure and sodium/potassium balance. This condition is a common cause of secondary hypertension (high blood pressure caused by another medical condition). The test measures the ratio of aldosterone to renin (a hormone released by the kidneys) to help determine whether the cause of high blood pressure is hormonal or related to other issues like kidney disease.

High levels of aldosterone with low levels of renin may indicate that the adrenal glands are producing excess aldosterone, possibly due to an adrenal tumor or overgrowth. Identifying this imbalance is crucial because primary aldosteronism may not respond well to standard high blood pressure treatments but can often be managed or even cured with the right therapy. This hormone blood test provides valuable information to help guide treatment decisions and prevent complications such as stroke, heart attack, or kidney damage.

Who should get this test?

The Aldosterone: Renin Ratio Blood Test may benefit individuals who:

  • Have resistant or hard-to-control high blood pressure
  • Have low potassium levels not explained by diet or medication
  • Show signs of adrenal gland disorders
  • Have a family history of early-onset hypertension or stroke
  • Are under 40 and newly diagnosed with high blood pressure
  • Have an adrenal mass or tumor seen on imaging scans
  • Are being evaluated for the cause of secondary hypertension

When should I order the Aldosterone: Renin Ratio Blood Test?

Individuals may consider ordering this test if they have symptoms or health concerns that suggest an imbalance in aldosterone or renin levels.

Symptoms to consider:

  • High blood pressure that doesn’t improve with standard medications
  • Muscle weakness or spasms due to low potassium
  • Frequent urination or thirst
  • Fatigue or unexplained tiredness
  • Headaches or dizziness
  • Tingling or numbness in the hands or feet
  • If you have these symptoms or suspect an adrenal hormone imbalance, the Aldosterone: Renin Ratio Blood Test can provide useful information to guide you and your doctor in managing your health and choosing the right treatment plan.
LC Sample ReportQD Sample Report
Test Code(s):

004354, 16845

Also Known As:

Aldosterone-renin ratio (ARR); Aldosterone and Plasma Renin Activity; PRA; ARR

Specimen:

Blood

Preparation:

No fasting required. If possible, medications should be stopped 4 weeks prior to collection. Check with physician before stopping any medications. Collection should be performed mid morning, after the patient has been up (sitting, standing, or walking) for at least two hours and seated for 5 to 15 minutes prior to draw.  Do not drink coffee, tea, or cola during the day the blood is collected. Certain medications, such as NSAID pain relievers (like ibuprofen), steroids, diuretics, beta-blockers, angiotensin-converting enzyme inhibitors, oral contraceptives, and dietary salt, may affect the results. Check with physician before stopping any medications.

Test Results:

4-7 days. May take longer based on weather, holiday or lab delays.


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