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Coxsackievirus B2 Neutralizing Antibody Blood Test

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

This blood test measures antibodies against Coxsackievirus B2, a virus that can affect the heart. It helps your doctor find out whether a recent viral infection may be causing heart-related symptoms such as chest pain or irregular heartbeat.

Quick summary

{"The test detects immune response to Coxsackievirus B2 infection","It helps diagnose viral infections that may affect the heart muscle","Results are reported as antibody titers (concentration levels)","A positive result indicates past or current infection","The test uses a neutralization assay method to detect protective antibodies"}

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

Key facts at a glance

LOINC
24183-6
Short code
CVB2 NT
Synonyms
CV B2 NAb sp1 Titr Ser Nt
Category
cardiac
Sample
serum
Container
Serum separator tube (SST, gold top) or red top plain tube
Units
N/A
Ref low
8
Ref high
16
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Virus Neutralization Test (VNT) - Cell culture-based assay detecting neutralizing antibodies against Coxsackievirus B2
CPT
86622
SNOMED
371949004
Specimen volume
1.0-2.0 mL of serum minimum; 3.0 mL preferred for optimal testing
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
300
Icterus max
20
TAT
72–168 hours
Order
routine

What is this test?

The Coxsackievirus B2 neutralizing antibody test is a blood test that detects whether your body has produced antibodies against Coxsackievirus B2, a specific type of enterovirus. This virus is part of a group of viruses that can cause various infections, including those affecting the heart.

How is the test performed?

A healthcare provider will draw a small blood sample from a vein in your arm. The sample is then sent to a laboratory where technicians will look for neutralizing antibodies against Coxsackievirus B2. Neutralizing antibodies are proteins your immune system produces to fight off the virus.

Why might I need this test?

This test is often ordered when patients have symptoms suggesting a heart infection, such as chest pain, shortness of breath, fatigue, or irregular heartbeat. It helps doctors determine if a viral infection, specifically Coxsackievirus B2, may be the cause of heart-related symptoms.

Reference range

Negative: <1:8; Equivocal: 1:8; Positive: ≥1:16. Four-fold rise in titer between acute and convalescent specimens (≥2 dilutions) indicates recent or active infection.N/A

Specimen: serum

No special preparation required. Fasting is not necessary for this test. Inform the laboratory of any recent viral infections, vaccinations, or immunosuppressive therapy.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
No, fasting is not required for this blood test. You can eat and drink normally before having your blood drawn.
What do the results mean?
Results are typically reported as a titer, which indicates the concentration of neutralizing antibodies in your blood. A higher titer suggests a stronger immune response. Your doctor will interpret these results in the context of your symptoms and other test findings.
Is a single test result enough?
Often, two blood samples (acute and convalescent) taken several weeks apart may be needed to confirm a recent infection. A rising antibody level between the two samples indicates a recent or ongoing infection.
Does a positive result mean I have heart disease?
No, a positive result means you have been exposed to Coxsackievirus B2 at some point. Not everyone who has been infected develops heart problems. Your doctor will use this information along with other tests and your symptoms to determine if further evaluation is needed.
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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