Skip to content

Angiotensiniisupplasscnc

Published: August 9, 2026Updated: August 15, 2026

This test measures the level of angiotensin II, a hormone that helps control blood pressure and fluid balance, in your blood while lying down.

Quick summary

{"Angiotensin II is a hormone that regulates blood pressure and blood volume","The test helps diagnose causes of high blood pressure and certain kidney disorders","Blood is drawn while you lie down (supine position) for accurate baseline measurement"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
25562-0
Short code
ANGII-S
Synonyms
Angiotensin II sup Plas-sCnc
Category
chemistry
Sample
plasma
Container
Pre-chilled EDTA plasma tube (lavender-top) with aprotinin or other protease inhibitor added; alternatively, pre-chilled EDTA tube with samples transported on ice
Units
N/A
Ref low
10
Ref high
30
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Radioimmunoassay (RIA) or Enzyme Immunoassay (EIA)
CPT
82164
SNOMED
104686000
Specimen volume
3-5 mL of whole blood collected into chilled tube
Stability
Plasma should be separated immediately in a refrigerated centrifuge and frozen at -20°C or lower; stable for up to 1 month at -20°C; avoid repeated freeze-thaw cycles
Hemolysis max
50
Lipemia max
100
Icterus max
20
TAT
24–96 hours
Order
routine

What is this test?

The Angiotensin II test measures the amount of a hormone called angiotensin II in your blood. Angiotensin II is a key part of the renin-angiotensin-aldosterone system (RAAS), which helps regulate your blood pressure and the balance of fluids and salts in your body. The 'supine' part means your blood sample is taken while you are lying down, which provides a consistent baseline measurement.

Why is it done?

This test is typically ordered to help diagnose the cause of high blood pressure (hypertension) that is difficult to control. It can also help identify conditions affecting the kidneys or adrenal glands, such as primary aldosteronism (overproduction of aldosterone) or renal artery stenosis (narrowing of kidney arteries). Your doctor may also use this test to evaluate certain types of kidney disease or to distinguish between different causes of high blood pressure.

How is the test performed?

A healthcare professional will draw a blood sample from a vein in your arm while you are lying down in a supine position. You may be asked to rest in this position for a period before the blood draw to ensure accurate results. The sample is then sent to a laboratory for analysis. You may need to fast or avoid certain medications before the test—follow your doctor's specific instructions.

Are there any risks?

The risks of this test are minimal and similar to routine blood tests. You may experience slight pain, bruising, or bleeding at the puncture site. In rare cases, infection or fainting may occur. These risks are generally low and temporary.

Reference range

Supine reference range: approximately 10-30 pg/mL (10-30 ng/L) for healthy adults; pediatric ranges may vary by ageN/A

Specimen: plasma

Patient should be on a normal sodium diet prior to collection. Avoid excessive salt intake or restriction for at least 3 days before testing. Diuretics, ACE inhibitors, ARBs, beta-blockers, and NSAIDs should be discontinued if possible (consult physician). Patient must remain supine for at least 30 minutes prior to and during specimen collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to prepare for the test?
Your doctor may ask you to fast for a certain period before the test and to avoid specific medications (such as blood pressure drugs, diuretics, or ACE inhibitors) that can affect angiotensin II levels. Always follow your doctor's specific instructions about preparation.
What do high angiotensin II levels mean?
Elevated angiotensin II levels may indicate conditions like renal artery stenosis (narrowing of the arteries to the kidneys), malignant hypertension, or heart failure. These conditions activate the renin-angiotensin system, leading to increased angiotensin II production.
What do low angiotensin II levels mean?
Low levels may be seen in primary aldosteronism (overproduction of aldosterone by the adrenal glands), certain kidney diseases, or as a result of certain medications. Your doctor will interpret the results in the context of your overall health and other test results.
Why is the test done in the supine position?
The supine (lying down) position provides a consistent baseline measurement because the renin-angiotensin-aldosterone system activity varies with body position. Standing or sitting can increase RAAS activity, while lying down gives a more stable baseline for comparison.
Will I need other tests?
Yes, this test is often used alongside other tests such as renin activity, aldosterone levels, cortisol, and kidney function tests to get a complete picture of your hormonal and kidney health. Your doctor will determine which tests are needed based on your specific situation.
  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 15, 2026. · Read our editorial policy