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Anti-Cardiolipin Antibody (IgG and IgM) - Serum

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

This test measures the presence of antibodies against cardiolipin, a phospholipid found in cell membranes. These antibodies may be linked to certain autoimmune conditions or blood clotting issues.

Quick summary

["This test helps assess potential autoimmune or clotting disorders, often used alongside other tests like lupus anticoagulant screening."]

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

Key facts at a glance

LOINC
46125-1
Short code
CARDAB
Synonyms
Cardiolipin Ab Ser Ql IA
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube without anticoagulant
Units
N/A
Ref low
10
Ref high
40
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Immunoassay (Enzyme-Linked Immunosorbent Assay - ELISA or Chemiluminescent Immunoassay - CLIA)
CPT
86147
SNOMED
39513002
Specimen volume
1-2 mL of serum (minimum 0.5 mL)
Stability
Serum stable for 8 hours at room temperature (20-25°C); 2 weeks at refrigerated temperature (2-8°C); up to 6 months at frozen temperature (-20°C or below). Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

What This Test Measures

The test detects two types of antibodies—IgG and IgM—that target cardiolipin. These antibodies can be part of a broader immune response in conditions such as lupus, antiphospholipid syndrome, or other autoimmune diseases. The results are reported separately for each antibody type.

Why It Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms or risk factors for autoimmune diseases, such as recurrent miscarriages, blood clots, or chronic joint pain. It’s also used to monitor certain conditions like lupus or antiphospholipid syndrome.

How the Test Works

A small sample of your blood is drawn and sent to a lab. The lab uses an immunoassay method to detect the presence of IgG and IgM antibodies against cardiolipin. Results are typically reported as positive or negative, or sometimes with relative levels if quantitated.

What the Results Mean

Positive results for cardiolipin antibodies may indicate an autoimmune response, though they don’t diagnose a specific condition alone. Elevated levels can sometimes be found in people with lupus, antiphospholipid syndrome, or other autoimmune disorders. Always discuss results with your provider.

Reference range

Negative: <10 GPL/mL (IgG) or <10 MPL/mL (IgM); Indeterminate: 10-40 GPL/mL or MPL/mL; Positive: >40 GPL/mL or MPL/mL. Reference values vary by laboratory and assay manufacturer.N/A

Specimen: serum

No fasting required. Patient should be well-hydrated. Avoid hemolyzed, lipemic, or icteric samples when possible. Information regarding current medications (especially anticoagulants or immunosuppressants) should be provided.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Anti-Cardiolipin Antibodies

Frequently asked questions

Why might my doctor want to check this test?
Your doctor may order this test if you have symptoms like unexplained blood clots, frequent miscarriages, chronic fatigue, or joint pain. It can also be part of a broader evaluation for autoimmune diseases like lupus or antiphospholipid syndrome.
What does a positive result mean for my health?
A positive result suggests your immune system may be producing antibodies against cardiolipin, which could be linked to autoimmune activity. However, it doesn’t confirm a diagnosis on its own. Your doctor will consider other test results and your symptoms to guide further evaluation.
Can I take anything special before this test?
No special preparations are needed. You can eat and drink normally before the blood draw. If you’re on blood thinners, always inform your healthcare provider before the test.
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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