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aPTT (Activated Partial Thromboplastin Time) Test
✅ Up to date🔬 Evidence: ModerateHematology
Diğer adları: APTT test, Partial thromboplastin time, PTT
⚠️
Discuss your test results with your doctor. This page is for informational purposes only and does not provide a diagnosis.
⚡ Key Facts
• Measures clotting time via the intrinsic and common pathways
• Normal: approximately 25–40 seconds
• Used for heparin monitoring and bleeding disorder investigation
• Lupus anticoagulant may cause prolongation without bleeding risk
🧪 What Does This Test Measure?
The aPTT test measures clotting time through the intrinsic and common pathways, used for heparin monitoring and bleeding disorder investigation.
📋 Why Is It Ordered?
Ordered for bleeding disorder investigation, unfractionated heparin monitoring, and preoperative clotting assessment.
🔧 Preparation
Fasting is generally not required. Blood is collected in a citrated tube. Sample handling and timing are important for accuracy.
📊 Reference Ranges
Normal: approximately 25–40 seconds (varies by laboratory)
UFH therapeutic range: typically 1.5–2.5× the control value
⚠️ Ranges vary by laboratory and reagent.
⬆️ High Values
Prolonged aPTT may be associated with heparin therapy, factor deficiencies, lupus anticoagulant, or DIC.
⬇️ Low Values
Shortened aPTT is rarely evaluated clinically. It may be seen with acute phase response or elevated factor VIII.
⚙️ What Can Affect Results?
Medications, sample collection technique, reagent type, elevated CRP or hematocrit, and delayed processing may affect aPTT results.
🔬 Evidence Summary
Moderate evidence: 4 guidelines and 3 reviews.
✅ Key Takeaways
💡
What you learned: aPTT evaluates the intrinsic clotting pathway. It is essential for heparin monitoring and bleeding disorder investigation.
⛔
An aPTT result alone cannot diagnose a bleeding or clotting disorder. Clinical context and additional tests are needed.
🔬 Sources Used on This Page
7 sources · Most recent publication: 2024📋
Guideline
Expert society and guideline recommendations
4
sources
📖
Review
Comprehensive topic evaluation
3
sources
Overall assessment: Evidence level for this topic is moderate. This page is supported by 4 guidelines, 3 reviews.
📝 Questions to Ask Your Doctor
Be prepared for your appointment. Add questions to your list.
Last reviewed: 4/2/2026
Next review: 7/2/2026
⚖️ Comparisons
🔗 Related Topics
🧪 PT/INR (protrombin zamanı)🧪 D-dimer🧪 Fibrinojen🧪 Hemogram (trombosit sayısı)
⚖️ This page does not replace medical advice. Make treatment decisions with your doctor.
Content is based on scientific studies indexed in PubMed and current clinical guidelines.
Content is based on scientific studies indexed in PubMed and current clinical guidelines.