Plasma Aldosterone Concentration (with Saline Challenge)
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.
["This test evaluates how your kidneys handle salt and helps diagnose conditions like hyperaldosteronism or adrenal insufficiency."]
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
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?
How often should I get this test?
Can I eat or drink anything before the test?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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