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Platelet Aggregation, Arachidonic Acid (Optical)

Complete Blood Count

AA LTAArachidonic acid–induced platelet aggregation (optical)

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test evaluates how your platelets clump together when exposed to arachidonic acid using optical aggregometry. A blood sample is processed to create platelet‑rich plasma, then the lab measures changes in light passing through the sample as platelets respond to the agonist.

It primarily assesses the cyclooxygenase‑1 pathway that is targeted by aspirin. Clinicians often order it as part of a broader platelet function panel that uses different agonists to understand how well your platelets work.

Why it matters

Results help your care team determine whether a tendency to bruise or bleed might be related to a platelet function problem, the effect of aspirin or similar drugs, or another medical condition. The test is commonly used to confirm drug effect, to investigate suspected inherited or acquired platelet disorders, and to plan safely for procedures where bleeding control is important.

It can also support monitoring of adherence to aspirin therapy or identify unexpected resistance or sensitivity. Understanding your platelet response helps tailor medication choices and guides whether further testing is needed.

Understanding your results

A reduced response may reflect the expected effect of aspirin, other drug interference, or a problem within the same biochemical pathway. A typical response suggests no significant inhibition at the time of testing, while a stronger than expected response may be seen in some individuals or clinical states. Your clinician interprets the result alongside other agonists, your medical history, and the complete blood count.

If results are unclear, your team may repeat the test after holding certain medications when medically safe, or add complementary studies such as other platelet agonists, von Willebrand testing, or genetic evaluations. Always review any medication changes with your clinician before stopping or starting treatments.

Reference ranges

-- nan
All sexes
0 days – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Platelet Aggregation, Arachidonic Acid (Optical)

  • Aspirin and NSAIDs

    Aspirin and some nonsteroidal anti‑inflammatory drugs inhibit the pathway this test targets, often lowering aggregation. Tell your care team about all pain relievers and combination products.

  • Other antiplatelet drugs

    P2Y12 inhibitors, glycoprotein IIb/IIIa inhibitors, and some antidepressants or antibiotics can alter platelet function. Provide a full medication and supplement list before testing.

  • Sample handling and timing

    Platelet‑rich plasma must be prepared and tested promptly at controlled temperature. Delay, excessive agitation, or improper centrifugation can produce misleading results.

  • Platelet count and hematocrit

    Very low platelet counts or abnormal red cell levels can affect optical signals and the ability of platelets to aggregate, influencing interpretation.

  • Diet, alcohol, and supplements

    Fish oil, alcohol, herbal products such as ginkgo or garlic, and high‑dose omega‑3s may reduce aggregation. Caffeine and heavy meals near collection can also influence results.

  • Illness, inflammation, and stress

    Acute infections, inflammatory states, and physiologic stress can transiently change platelet reactivity. Testing is best performed when you are clinically stable.

  • Pregnancy and age

    Physiologic changes in pregnancy and aging can modify platelet behavior. Your clinician will interpret results in the context of these factors.

  • Smoking and exercise

    Recent smoking or vigorous exercise can alter platelet activation. Avoid these before collection if your clinician instructs you to do so.

2026

References

  1. McGill University Health Centre. (2017, June 08). Platelet Agg Arachidonic 5uM/Opt Agg (Task CD 1091047). Laboratory reference ranges.
  2. Cattaneo, M., Cerletti, C., Harrison, P., Hayward, C. P. M., Paganelli, F., & Gresele, P. (2013). Recommendations for the standardization of light transmission aggregometry: A consensus of the Working Party from the Platelet Physiology Subcommittee of the ISTH. Journal of Thrombosis and Haemostasis, 11(6), 1183–1189.
  3. Clinical and Laboratory Standards Institute. (2015). Platelet function testing by aggregometry; Approved guideline (CLSI document H58-Ed2). CLSI.