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Plasma Renin Activity (PRA)

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

This test measures the amount of renin, an enzyme produced by your kidneys that helps regulate blood pressure and fluid balance.

Quick summary

["Renin helps control how much fluid stays in your body and how much pressure your blood exerts against artery walls."]

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

Key facts at a glance

LOINC
35570-1
Short code
Renin Plas-mCnc
Synonyms
Renin Plas-mCnc
Category
chemistry
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your doctor may order this test if you have symptoms like high blood pressure, kidney problems, or conditions affecting your kidneys’ ability to regulate fluid and salt, such as certain types of kidney disease or hormonal imbalances. It may also be used to diagnose or monitor conditions like primary aldosteronism or renovascular hypertension.

What Does the Test Involve?

A blood sample is taken from a vein, usually in your arm. The blood is then sent to a lab where it’s processed to measure renin levels in your plasma. This test helps assess kidney function and how well your body’s natural systems are managing blood pressure and fluid balance.

What Are Common Uses?

Plasma renin activity is often used to evaluate kidney function, especially in cases where blood pressure is difficult to control with medication. It can also help identify whether high blood pressure is caused by problems with your kidneys or adrenal glands.

What Might Affect Results?

Several factors can influence renin levels, including medications (like beta-blockers or diuretics), stress, dehydration, or certain medical conditions. If you’re taking medications or have recent changes in health, let your doctor know before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Plasma Renin Level

Frequently asked questions

How often do I need this test?
This test is typically ordered as needed, depending on your symptoms or medical condition. Your doctor will determine how often you need follow-up tests based on your specific situation.
What do my results mean?
Results can help identify whether your blood pressure or kidney function is affected by low renin levels (which may suggest conditions like primary aldosteronism) or high renin levels (which could indicate kidney issues or other hormonal imbalances). Always discuss your results with your healthcare provider.
Can I eat or drink anything before the test?
You may need to avoid certain foods, medications, or activities for a few days before the test, depending on your doctor’s instructions. Follow their guidance 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