Skip to content

Plasma Aldosterone Concentration (with Saline Challenge)

Published: August 9, 2026Updated: August 16, 2026

This test measures how your body responds to a saline (salt) load by checking your aldosterone levels in plasma. It helps assess your kidneys' ability to regulate blood pressure and fluid balance.

Quick summary

["This test evaluates how your kidneys handle salt and helps diagnose conditions like hyperaldosteronism or adrenal insufficiency."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
50259-1
Short code
Aldost pre 25 mg Cpl PO SerPl-sCnc
Synonyms
Aldost pre 25 mg Cpl PO SerPl-sCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you have symptoms like high blood pressure, frequent urination, or signs of low potassium. It’s also used to check for conditions like primary aldosteronism (a hormone disorder) or adrenal gland problems that affect salt and water balance.

What to Expect Before the Test

You’ll drink a saline solution (saltwater) before the blood draw. The test involves collecting blood samples at different times to measure aldosterone levels, which helps track how your body responds to the salt challenge.

What the Test Results Mean

Results are compared to your baseline aldosterone levels and how they change after drinking saline. Abnormal results may indicate whether your kidneys are overproducing aldosterone or if another condition is affecting your blood pressure and fluid balance.

Common Conditions Linked to This Test

This test is often used to diagnose conditions like **primary aldosteronism** (a common cause of high blood pressure), **adrenal insufficiency**, or **Cushing’s syndrome** (excess cortisol). It can also help rule out other causes of unexplained high blood pressure or electrolyte imbalances.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: How Results Impact Care

Short name

Aldosterone (Saline Challenge)

Frequently asked questions

What might cause abnormal aldosterone levels?
Abnormally high aldosterone levels may be caused by conditions like **primary aldosteronism**, kidney disease, or certain medications (e.g., steroids). Low levels could indicate adrenal gland problems, such as **Addison’s disease**, or other hormonal imbalances. Always discuss results with your doctor.
How often should I get this test?
Your doctor will determine how often you need this test based on your symptoms, medical history, and other test results. Some people may need it only once, while others may require follow-up testing over time.
Can I eat or drink anything before the test?
You’ll need to follow specific instructions from your doctor or lab, but generally, you may drink clear fluids (like water) unless told otherwise. Avoid salty foods or drinks before the saline challenge portion of the test.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy