Activated Partial Thromboplastin Time (aPTT)
 
The aPTT measures the intrinsic pathway.
  • Again, it's a historic term.
  • We use citrated plasma (not serum!)
    • Citrate chelates the calcium
    • Hemolyzed or partially clotted samples are useless.
  • We restore calcium to an aliquot of the plasma and
  • Add an activating agent (silica, kaolin, elagic acid, among others) to serve as the trigger to activate Factor XII.
  • Record time it takes for the sample to clot, typically 28 to 35 seconds depending on the activating agent.
  • No equivalent of the INR exists here, although a reference range is always provided.

 
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