TEST NAMESPECIMEN REQUIREMENT (mL)CONTAINERCAP COLORSTORE TEMPERATURE (STABILITY)TURNAROUND TIME (DAY)METHODOLOGYREFERENCE RANGE (UNIT)
Aldosterone 〔CLEIA〕/renin activity ratio
Plasma
1.2
PN2,PN5 ↓ A00
(14 days)
3-5
Aldosterone: CLEIA Renin activity: EIA
See below
COMMENT
The standard value is the cut-off value according to the "Primary Aldosteronism Treatment Guidelines 2021" of the Japan Endocrine Society. "4609 5: Aldosterone [CLEIA]", "00G06 2: Aldosterone [CLEIA]/renin concentration ratio", "00E49 9: Aldosterone [CLEIA]/renin activity ratio" cannot be requested at the same time. "08029 1: Renin activity (PRA) [EIA]" and "00E49 9: Aldosterone [CLEIA]/renin activity ratio" cannot be requested at the same time. ●Notes on aldosterone [CLEIA]/renin activity ratio ・It is stated that blood collection is preferred to be conducted in the early morning, fasted, and in a resting position, but that screening can be conducted in a sitting position at any time. ・When stored refrigerated, an increase in renin concentration will be observed. Collect blood into the container shown below, mix well, and separate the plasma. Be sure to store plasma frozen.
CONTAINER
2024/04/10→大原
2019/01/29
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2020/11/20
2024/04/10
PN2
旧容器記号
CC34
EDTA-2Na入り (真空採血量2mL)
内容:EDTA-2Na 3.0mg
貯蔵方法:室温
有効期間:製造から2年
PN2
Previous container symbol
C
With EDTA-2Na (2mL vacuum blood sampling tube)
Contents: EDTA-2Na 3.0 mg
Storage method: Room temperature
Expiration period: 2 years from production
2024/04/10→大原
2019/01/29
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2020/11/20
2024/04/10
PN5
旧容器記号
CC34
EDTA-2Na入り (真空採血量5mL)
内容:EDTA-2Na 7.5mg
貯蔵方法:室温
有効期間:製造から2年
PN5
Previous container symbol
C
With EDTA-2Na (5mL vacuum blood sampling tube)
Contents: EDTA-2Na 7.5 mg
Storage method: Room temperature
Expiration period: 2 years from production
Reference Range for Aldosterone [CLEIA]/Renin Concentration Ratio and Aldosterone [CLEIA]/Renin Activity Ratio
Aldosterone [CLEIA] (pg/mL)
4.0-82.1
Renin concentration (ARC) [CLEIA] (pg/mL)
2.21-39.5
Renin activity (PRA) [EIA] (ng/mL/hr)
Recumbent position 0.2-2.3
Sitting position 0.2-3.9
Standing position 0.2-4.1
Aldosterone [CLEIA]/renin concentration ratio
Less than 20
Aldosterone [CLEIA]/renin activity ratio
Less than 100
*Criteria of positive judgements are concentration ratio ≥40 or
activity ratio ≥200 and plasma aldosterone concentration ≥60pg/mL.
However, in the cases of concentration ratio less than 20-40 or
activity ratio less than 100-200 and plasma aldosterone concentration ≥ 60 pg/mL
of the "ARR borderline", the result is provisionally considered positive.
*If the result is provisionally positive,
it is stated that the need for a functional confirmation test will be considered on an individual basis,
taking into account the patient's needs and clinical findings,
particularly the presence or absence of hypokalemia or adrenal tumors, as well as the patient's age.
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