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Coxsackievirus B2 Antibody Test

Published: August 9, 2026Updated: August 10, 2026

This blood test checks for antibodies your body makes to fight Coxsackievirus B2, a common virus that can sometimes inflame the heart. Doctors often use it to help determine whether a viral infection is behind symptoms such as chest pain, fatigue, or an irregular heartbeat.

Quick summary

{"The test detects your body's immune response to Coxsackievirus B2","It helps doctors diagnose viral heart infections like myocarditis","A positive result suggests a recent or past infection","The test requires a simple blood draw","Results are typically available within a few days"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
24255-2
Short code
CVB2
Synonyms
CV B2 Ab sp1 Titr Ser
Category
cardiac
Sample
serum
Container
Serum separator tube (SST/gel tube) or red top tube
Units
N/A
Ref low
0
Ref high
8
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Enzyme Immunoassay (EIA) or Indirect Immunofluorescence Assay (IFA)
CPT
86622
SNOMED
371949004
Specimen volume
1.0-2.0 mL of serum minimum
Stability
Room temperature: 24-48 hours; Refrigerated (2-8°C): up to 7 days; Frozen (-20°C or below): 30 days
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The Coxsackievirus B2 Antibody Test is a blood test that looks for antibodies your body has made to fight Coxsackievirus B2. This virus is part of a group of viruses called enteroviruses, which are common and can cause various infections. When your body encounters this virus, your immune system produces specific antibodies (called IgM and IgG) to fight it. This test measures these antibodies in your blood.

Why might I need this test?

Your doctor may order this test if you have symptoms of a heart infection, particularly myocarditis (inflammation of the heart muscle) or pericarditis (inflammation of the outer lining of the heart). Symptoms may include chest pain, shortness of breath, fatigue, fever, or irregular heartbeat. The test helps determine if a viral infection, specifically Coxsackievirus B2, might be causing your heart symptoms.

How is the test performed?

A healthcare professional will draw a small amount of blood from a vein in your arm using a needle. This blood sample will be sent to a laboratory for analysis. The test measures the level (titer) of antibodies in your serum. You may need to provide a second sample later to compare antibody levels and see if they are rising or falling, which helps determine if the infection is recent or past.

What do the results mean?

Results are typically reported as a titer (a measure of how much antibody is present). A high or rising titer of IgM antibodies usually indicates a recent infection. A high titer of IgG antibodies may indicate a past infection or that your body has developed immunity. Your doctor will interpret the results along with your symptoms and other test results to make a diagnosis. This test is often used with other cardiac tests, such as echocardiograms or EKGs, to get a complete picture of your heart health.

Reference range

<1:8 (negative); 1:8-1:16 (equivocal); ≥1:32 (positive) - Reference range may vary by laboratoryN/A

Specimen: serum

No special preparation required. Fasting is not necessary for this test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The Coxsackievirus B2 Antibody Test is primarily used in cardiology to help diagnose viral myocarditis and pericarditis. Coxsackievirus B is one of the most common viral causes of heart infections. Identifying a recent or ongoing Coxsackievirus B2 infection can help explain heart symptoms and guide treatment. The test may also be used to monitor outbreaks of Coxsackievirus infections or in research settings. However, it is important to note that not everyone with a positive antibody test will have heart problems, as many Coxsackievirus infections cause only mild respiratory or gastrointestinal symptoms.

Frequently asked questions

Is fasting required before this test?
No, fasting is not typically required for this test. You can eat and drink normally before having your blood drawn. However, always follow any specific instructions given by your doctor or the testing facility.
Are there any risks with this test?
The risks are minimal and similar to any routine blood draw. You may experience slight bruising, soreness, or bleeding at the needle site. In rare cases, fainting or infection may occur. These risks are generally low and temporary.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your doctor will contact you with the results or discuss them at your follow-up appointment.
Can I have a positive result without being sick?
Yes, it is possible to have a positive antibody result without current symptoms. This could mean you had a past infection that your body successfully fought off. The immune system retains memory of the virus, so IgG antibodies may remain detectable for years. Your doctor will consider your symptoms and other test results to determine if the positive result is related to your current condition.
Do I need a second test?
Sometimes your doctor may request a second blood sample (often called a convalescent specimen) taken 2-4 weeks after the first. Comparing antibody levels between the two samples can help determine if the infection is recent (rising titers) or past (stable or declining titers). This is why the test name includes '1st specimen' - it indicates the first of potentially multiple samples.
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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 10, 2026. · Read our editorial policy