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Test Name: AST, Serum

Specimen Type: Serum

Specimen Required: 3-5 Cc Yellow Top Gel Vial

Day Performed: Daily

Reporting Time: 8 Hours  STAT Reporting Time: 120 MINUTES

Methodology: Beckman Coulter AU480

CLINICAL SIGNIFICANCE:

An increased AST level may be due to any of the following:

  • Scarring of the liver (cirrhosis)
  • liver tissue damage
  • Heart attack
  • Too much iron in the body (hemochromatosis)
  • Swollen and inflamed liver (hepatitis)
  • Lack of blood flow to the liver (liver ischemia)
  • Liver cancer or tumor
  • Use of drugs that are toxic to the liver, especially alcohol use
  • Mononucleosis (viral infection)
  • Muscle disease or trauma
  • Swollen and inflamed pancreas (pancreatitis)

    AST level may also increase after:

  • Burns (deep)
  • Heart procedures
  • Seizures

References:

  1. Daniels L, Khalili M, Goldstein E, Bluth MH, Bowne WB, Pincus MR. Evaluation of liver function. In: McPherson RA, Pincus MR, eds. Henry’s Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022: chap 22.
  2. Pratt DS. Liver chemistry and function tests. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fortran’s Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 73.
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