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Cardiolipin Antibody, Total (Serum)

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

This test measures the presence of antibodies against cardiolipin, a lipid found in cell membranes, often linked to certain autoimmune conditions.

Quick summary

["This test helps assess potential autoimmune or inflammatory conditions that may affect blood clotting or other bodily functions."]

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

Key facts at a glance

LOINC
110044-5
Short code
CARDAB
Synonyms
Cardiolipin Ab Msmt Ser
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, gold-top or red-top with serum separator gel)
Units
N/A
Ref low
15
Ref high
40
Critical range
— – 40 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Enzyme-Linked Immunosorbent Assay (ELISA)
CPT
86147
SNOMED
39517005
Specimen volume
1.0 mL serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days; Avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
200
Icterus max
40
TAT
24–72 hours
Order
routine

What This Test Measures

Cardiolipin antibodies are proteins produced by the immune system that mistakenly target cardiolipin, a natural component in cell membranes. This test detects their presence in your blood. Cardiolipin is also associated with phospholipids found in blood vessels, which can be relevant in conditions like antiphospholipid syndrome.

Why It Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like unexplained blood clots, recurrent miscarriages, or other signs of autoimmune disorders. It may also be used to monitor conditions like lupus or other connective tissue diseases.

Common Conditions Monitored

Elevated levels of cardiolipin antibodies can be linked to autoimmune conditions such as antiphospholipid syndrome, systemic lupus erythematosus (SLE), or other connective tissue disorders. These conditions can affect blood clotting and other immune responses.

What to Expect Before the Test

No special preparation is typically needed. You may fast for 8–12 hours before the test if instructed by your provider, but this is not always required. Bring any medications you are currently taking to your appointment.

Reference range

IgG: <15 GPL-U/mL (negative), 15-40 GPL-U/mL (indeterminate/low-positive), >40 GPL-U/mL (positive); IgM: <15 MPL-U/mL (negative), 15-40 MPL-U/mL (indeterminate/low-positive), >40 MPL-U/mL (positive); IgA: <20 APL-U/mL (negative)N/A

Specimen: serum

No fasting required. Patient should be well-hydrated. Inform clinician of any anticoagulant therapy, recent infections, or autoimmune conditions prior to testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Total Cardiolipin Antibody

Frequently asked questions

Will this test show if I have an autoimmune disease?
This test alone may not diagnose an autoimmune disease, but it can help identify a potential autoimmune response involving cardiolipin antibodies. Your healthcare provider will consider the results alongside other symptoms, test results, and clinical findings.
What does a positive result mean?
A positive result suggests the presence of cardiolipin antibodies, which may raise concern for certain autoimmune conditions. Further testing, such as additional antibody tests or clinical evaluation, will help determine if additional action is needed.
Can I take my blood pressure medication before this test?
Yes, you can take your prescribed blood pressure medication as usual before this test unless your healthcare provider specifically instructs otherwise.
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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