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Platelet aggregation test - Overview

Definition of Platelet aggregation test:

The platelet aggregation test checks to see how well platelets, a part of blood, clump together and cause blood clotting.

How the test is performed:

A blood sample is needed. For information on how this is done, see: Venipuncture

The laboratory specialist will look at how the platelets spread out in the liquid part of the blood (plasma) and whether they form clumps after a certain chemical or drug is added. When platelets clump together, the blood sample is more clear. A machine measures the changes in cloudiness and prints a record of the results.

How to prepare for the test:

Many medications may affect test results. Tell your health care provider about any medications (including over-the-counter drugs) you have taken within 2 weeks before the test.

Medications that may affect test results include:

  • Antibiotics: penicillins, cephalosporins, nitrofurantoin
  • Antihistamines
  • Aspirin
  • Aspirin-containing compounds
  • Clopidogrel
  • Dipyridamole
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen
  • Theophylline
  • Ticlopidine
  • Tricyclic antidepressants

How the test will feel:

When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the test is performed:

Your doctor may order this test if you have signs of a bleeding disorder or low platelet count, or if a member of your family has a known bleeding disorder due to platelet dysfunction.

The test can help diagnose problems with platelet function and determine whether the problem is due to your genes, another disorder, or a side effect of medicine.

See also: Platelet count

  • Reviewed last on: 2/28/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

McMillan R. Hemorrhagic disorders: Abnormalities of platelet and vascular function. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 179.

Miller JL, Rao AK. Blood platelets and von Willebrand disease. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis by Laboratory Methods. 21st ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 39.

Schafer A. Hemorrhagic disorders: Approach to the patient with bleeding and thrombosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 178.

Schmaier AH. Laboratory evaluation of hemostatic and thrombotic disorders. In: Hoffman R, Benz EJ Jr., Shattil SJ, et al, eds. Hoffman Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Churchill Livingstone Elsevier; 2008:chap 122.

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