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Platelet Aggregation with Thrombin-Induced ATP Secretion (Whole Blood)

Published: August 9, 2026Updated: August 16, 2026

This test measures how platelets respond to thrombin by releasing ATP, a chemical that helps blood clot. It helps assess platelet function, especially in conditions where clotting may be impaired or excessive.

Quick summary

["This test evaluates platelet activity under controlled stimulation to check if they function normally in clotting."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
56021-9
Short code
Platelet aggr int Bld Thrombin induced ATP secretion.1 U/mL-Imp
Synonyms
Platelet aggr int Bld Thrombin induced ATP secretion.1 U/mL-Imp
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
150
Ref high
400
Critical range
50 N/A – 1000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
thrombin-induced-atp-secretion-u-ml
CPT
85049
SNOMED
900000000000003003
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What This Test Measures

The test evaluates platelet aggregation by measuring ATP release when platelets are exposed to thrombin, a natural protein that triggers clotting. ATP is a key signaling molecule in platelet activation. The response helps determine how effectively platelets can form clots when needed.

Why It’s Done

Doctors may order this test if you have symptoms like unexplained bruising, prolonged bleeding, or a history of clotting disorders. It can also be used to monitor treatments for bleeding or clotting conditions.

How It’s Performed

A small sample of your whole blood is taken and placed in a controlled environment where thrombin is added. The test measures ATP release over time to assess platelet function. No special preparation is needed, but fasting may be advised depending on the clinic.

What the Results Mean

Results typically compare your platelet response to a standard or reference range. A lower response may indicate poor platelet function, while an abnormal response could suggest underlying bleeding or clotting disorders.

Reference range

Adult: 150-400 x 10^9/LN/A

Specimen: whole-blood

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is particularly useful for diagnosing or monitoring conditions like von Willebrand disease, thrombocytopenia, or platelet dysfunction. It can also help guide treatment decisions for patients on blood thinners or those with suspected clotting disorders.

Short name

Thrombin-Induced ATP Release Test

Frequently asked questions

What causes abnormal platelet aggregation results?
Abnormal results may be due to inherited or acquired platelet disorders, medications (like blood thinners), or conditions affecting blood clotting. Always discuss symptoms and medications with your doctor before testing.
How long does it take to get results?
Results are usually available within 24 to 48 hours, depending on the lab. Your doctor will contact you once they are ready.
Can I eat or drink before this test?
Fasting may be recommended, but check with your healthcare provider. Generally, avoid heavy meals or alcohol before the test to ensure accurate results.
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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 16, 2026. · Read our editorial policy