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Angiotensin Converting Enzyme Test: Costs, Purpose, Normal Range and Interpretation

Angiotensin Converting Enzyme Test
  • Sample Type : Blood
  • Parameters : 1
  • Report Time : 24/48 Hrs
  • Home Collection: Yes
  • Fasting : Not Required
  • Age Group: All
OFFER PRICE:  ₹585 ₹700 30% off

 

ACE Blood Test
08+ booked in last 3 days

Angiotensin-converting enzyme (ACE) is an enzyme that plays a crucial role in the renin-angiotensin-aldosterone system (RAAS), a hormonal system involved in regulating blood pressure and fluid balance in the body. It is important to note that while ACE plays a significant role in the RAAS and blood pressure regulation, its function is complex and interconnected with other systems in the body. The specific regulation of blood pressure and fluid balance involves multiple factors, and alterations in ACE activity can have wide-ranging effects on the cardiovascular and renal systems.

The ACE (angiotensin-converting enzyme) test is a blood test that measures the levels of ACE in the blood. While the test is primarily associated with diagnosing and monitoring certain conditions, it is important to note that elevated ACE levels are not specific to a single condition and may be influenced by various factors. Here are some conditions and situations in which an ACE test may be ordered:

  • Sarcoidosis: Elevated ACE levels are commonly observed in patients with sarcoidosis, a systemic inflammatory disease that affects multiple organs, particularly the lungs. The ACE test can be used to support the diagnosis of sarcoidosis and monitor disease activity.
  • Other Granulomatous Diseases: Granulomatous diseases, such as tuberculosis, histoplasmosis, and coccidioidomycosis, can also cause increased ACE levels. The ACE test may be ordered to aid in the diagnosis and management of these conditions.
  • Interstitial Lung Diseases: Certain interstitial lung diseases, such as pulmonary fibrosis and hypersensitivity pneumonitis, may show elevated ACE levels. The ACE test can be used in combination with other diagnostic tests to help evaluate and monitor these conditions.
  • Lymphoma: Elevated ACE levels have been observed in some patients with lymphoma, particularly Hodgkin lymphoma. The ACE test may be ordered as part of the diagnostic workup for lymphoma or to monitor treatment response.
  • Liver Diseases: In certain liver diseases, such as primary biliary cirrhosis and alcoholic liver disease, increased ACE levels can be seen. However, ACE testing is not typically the primary diagnostic tool for liver diseases, and additional tests are usually performed to assess liver function.
  • Monitoring ACE Inhibitor Therapy: ACE inhibitors are medications commonly prescribed for the management of hypertension and certain cardiovascular conditions. The ACE test may be used to monitor the effectiveness of ACE inhibitor therapy and ensure appropriate dosing.

The ACE test is performed by drawing a blood sample from a vein in your arm. Our phlebotomist, will clean the site with an antiseptic and apply a tourniquet to make the veins more visible. He will then insert a sterile needle into a vein and collect the required amount of blood into a collection tube.

Interpreting ACE (angiotensin-converting enzyme) test results involves comparing the measured levels of ACE in the blood with the reference range provided by the laboratory. It is important to note that the specific reference range can vary slightly depending on the laboratory and the testing method used. Here are some general guidelines for interpreting ACE test results:

  • Normal Range: The normal range for ACE levels can vary between laboratories, but typically falls within the range of 8 to 53 units per liter (U/L) or 8 to 53 international units per liter (IU/L). The specific reference range provided by the laboratory conducting the test should be used for accurate interpretation.
  • Elevated ACE Levels: Elevated ACE levels can be seen in various conditions, but it is important to note that increased ACE levels are not specific to a single condition and can be influenced by factors such as age, gender, and certain medications. Elevated ACE levels may be observed in conditions such as sarcoidosis, granulomatous diseases, interstitial lung diseases, and some lymphomas. However, the ACE test alone is not sufficient for a definitive diagnosis and should be interpreted in conjunction with clinical evaluation and other diagnostic tests.
  • Monitoring Disease Activity: In certain conditions, such as sarcoidosis, the ACE test can be used to monitor disease activity. Changes in ACE levels over time can help assess treatment response and disease progression. However, ACE levels should not be used as the sole indicator of disease activity, and other clinical factors should also be considered.
  • False Positives and False Negatives: It is important to note that the ACE test can have limitations, including the possibility of false-positive or false-negative results. Other factors, such as medication use, liver disease, and pregnancy, can influence ACE levels and lead to misleading results. Therefore, clinical correlation and consideration of the patient's overall presentation are crucial for accurate interpretation.
  • Individual Variations: Each person's ACE levels can vary within the normal range, and individual variations should be considered. Some individuals may naturally have higher or lower ACE levels without any underlying disease.

High levels of angiotensin-converting enzyme (ACE) in the blood are not a specific condition on their own but are often associated with underlying diseases such as sarcoidosis, granulomatous diseases, and certain lymphomas. The treatment for high ACE levels depends on addressing the underlying condition causing the elevation. Here are some general approaches to managing conditions associated with high ACE levels:

  • Sarcoidosis: Sarcoidosis is a systemic inflammatory disease that can affect various organs. Treatment for sarcoidosis may involve a combination of medications, depending on the severity and affected organs. Corticosteroids, such as prednisone, are commonly prescribed to reduce inflammation. Other immunosuppressive medications, such as methotrexate or azathioprine, may be used for more severe cases. Treatment is individualized based on the patient's symptoms, organ involvement, and overall health.
  • Granulomatous Diseases: The treatment for other granulomatous diseases causing elevated ACE levels, such as tuberculosis or fungal infections, will depend on the specific condition. Antimicrobial medications are typically prescribed for infectious granulomatous diseases, and treatment duration may vary. Consultation with a healthcare professional specializing in infectious diseases is essential for appropriate management.
  • Lymphoma: High ACE levels in some lymphomas, particularly Hodgkin lymphoma, may be observed. Treatment for lymphoma typically involves a combination of chemotherapy, radiation therapy, and sometimes targeted therapies or immunotherapy. The specific treatment plan will depend on the type and stage of the lymphoma and will be determined by an oncologist.

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