Endocrinology

Plasma Renin Activity

Normal Range
Adult (Upright): 0.7 - 3.3 ng/mL/hr; Adult (Supine): 0.2 - 1.6 ng/mL/hr
Sample Type
Standard
Fasting
No
Unit
ng/mL/hr

Plasma Renin Activity (PRA) measures the rate of formation of Angiotensin I from Angiotensinogen, reflecting the functional activity of the renin enzyme. It is a cornerstone in the evaluation of the Renin-Angiotensin-Aldosterone System (RAAS). In clinical practice, it is primarily used to differentiate between primary and secondary hyperaldosteronism. When interpreted alongside plasma aldosterone levels (the Aldosterone-Renin Ratio or ARR), it helps diagnose Primary Aldosteronism (Conn's Syndrome), a potentially curable cause of hypertension.

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Interactive
ng/mL/hr

Enter your lab result to see where you stand compared to the standard reference range.

Why Context Matters

PRA is highly sensitive to external factors. Results are significantly altered by the patient's posture (upright vs. supine), sodium intake, and the use of common antihypertensives like beta-blockers, ACE inhibitors, and diuretics. A second opinion ensures that the pre-test conditions (e.g., salt loading or medication washout) were strictly followed.

Lab ranges are statistical averages, not biological laws. "Normal" for a 20-year-old male isn't normal for a 60-year-old female.

Clinical References

Source-of-truth databases and clinical guidelines for Plasma Renin Activity:

Related Indicators

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Medically Reviewed by Dr. Binoy Babu, MBBS

Board Certified Doctor • 10+ Years Clinical Experience

Dr. Babu is a practicing physician dedicated to empowering patients with clear, actionable medical information. He founded 2opi to bridge the gap between complex lab reports and patient understanding, ensuring everyone has access to a reliable second opinion.

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