Biomarker Lens

Biomarkers · Chemical

Epinephrine Plasma

What it measures

Also listed as
Epinephrine, Plasma
Tests in the graph that measure it
7

A plain-language description with its source has not been added for this biomarker yet. What the laboratories say about the tests that measure it is below.

Tests that measure Epinephrine Plasma

Catecholamines Fractionated Upright Plasma

Laboratory
Quest Diagnostics
Test code
16382
Specimen
Plasma
Fasting
Required

What the laboratory says this test is for

Clinically, the measurement of circulating catecholamines is valuable in the diagnosis of catecholamine secreting tumors associated chiefly with hypertension (Pheochromocytomas, Neuroblastomas, and Gangliomas) and with the evaluation of Orthostatic Hypotension.

Quest Diagnostics test directory, test code 16382

Catecholamines Fractionated Plasma

Laboratory
Quest Diagnostics
Test code
314
Specimen
Plasma
Fasting
Required

What the laboratory says this test is for

This panel may aid in evaluating catecholamine-producing pheochromocytomas and paragangliomas (PPGLs). However, measurements of plasma free or urinary fractionated metanephrines (ie, the O-methylated catecholamine metabolites) are preferred for the initial biochemical evaluation of PPGLs because of their overall high diagnostic sensitivity [1].Most PPGLs secrete catecholamines and can cause catecholamine excess, resulting in hypertension, arrhythmia, and hyperglycemia. Left untreated, PPGLs often lead to life-threatening cardiovascular complications. The estimated prevalence of PPGLs is 0.05% to 0.1% in adults with hypertension and 1.7% in children with hypertension [2]. Recognizing the possibility of a PPGL and performing appropriate biochemical testing are crucial for the diagnosis [1]. Plasma or urine catecholamine levels may be used, in addition to metanephrine levels, to provide additional information during the initial biochemical evaluation of PPGLs (eg, when detecting dopamine-secreting paragangliomas) [2].Intermittent or insignificant secretion of catecholamines by some PPGLs may not increase catecholamine measurements. Physiological stress and certain medications (eg, acetaminophen, labetalol, and sotalol) may increase catecholamine measurements [1].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Lenders JW, et al. J Clin Endocrinol Metab. 2014;99(6):1915-1942.2. National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology (NCCN Guidelines®). Neuroendocrine and Adrenal Tumors. V1.2022. Accessed June 28, 2022. http://www.nccn.org

Quest Diagnostics test directory, test code 314

Catecholamines Fractionated Random Urine

Laboratory
Quest Diagnostics
Test code
5244
Specimen
Urine
Fasting
Not stated as required

What the laboratory says this test is for

This panel may aid in evaluating catecholamine-producing pheochromocytomas and paragangliomas (PPGLs). However, measurements of plasma free or urinary fractionated metanephrines (ie, the O-methylated catecholamine metabolites) are preferred for the initial biochemical evaluation of PPGLs because of their overall high diagnostic sensitivity [1]. To adjust for the concentration differences in random urine specimens, results are expressed as catecholamine to creatinine ratios.Most PPGLs secrete catecholamines and can cause catecholamine excess, resulting in hypertension, arrhythmia, and hyperglycemia. Left untreated, PPGLs often lead to life-threatening cardiovascular complications. The estimated prevalence of PPGLs is 0.05% to 0.1% in adults with hypertension and 1.7% in children with hypertension [2]. Recognizing the possibility of a PPGL and performing appropriate biochemical testing are crucial for the diagnosis [1]. Plasma or urine catecholamine levels may be used, in addition to metanephrine levels, to provide additional information during the initial biochemical evaluation of PPGLs (eg, when detecting dopamine-secreting paragangliomas) [2].Intermittent or insignificant secretion of catecholamines by some PPGLs may not increase catecholamine measurements. Physiological stress and certain medications (eg, acetaminophen, labetalol, and sotalol) may increase catecholamine measurements [1].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Lenders JW, et al. J Clin Endocrinol Metab. 2014;99(6):1915-1942.2. National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology (NCCN Guidelines®). Neuroendocrine and Adrenal Tumors. V1.2022. Accessed June 28, 2022. http://www.nccn.org

Quest Diagnostics test directory, test code 5244

Catecholamines Fractionated 24-Hour Urine with Creatinine

Laboratory
Quest Diagnostics
Test code
39627
Specimen
Urine
Fasting
Not stated as required

What the laboratory says this test is for

The three catecholamines (norepinephrine, epinephrine and dopamine) are the principal secretory products of neural tissue. Clinically, the measurement of circulating catecholamines is valuable in the diagnosis of catecholamine secreting tumors associated chiefly with hypertension (pheochromocytomas, neuroblastomas and gangliomas) and with the evaluation of orthostatic hypotension.

Quest Diagnostics test directory, test code 39627

Catecholamines Fractionated 24-Hour Urine without Creatinine

Laboratory
Quest Diagnostics
Test code
318
Specimen
10 mL aliquot from a 24-hour collection preserved with 6N HCl at the start of collection. Unpreserved specimens must be frozen.
Fasting
Not stated as required

What the laboratory says this test is for

The three catecholamines (norepinephrine, epinephrine and dopamine) are the principal secretory products of neural tissue. Clinically, the measurement of circulating catecholamines is valuable in the diagnosis of catecholamine secreting tumors associated chiefly with hypertension (pheochromocytomas, neuroblastomas and gangliomas) and with the evaluation of orthostatic hypotension.

Quest Diagnostics test directory, test code 318

Catecholamines Fractionated Supine Plasma

Laboratory
Quest Diagnostics
Test code
16381
Specimen
Plasma
Fasting
Required

What the laboratory says this test is for

Clinically, the measurement of circulating catecholamines is valuable in the diagnosis of catecholamine secreting tumors associated chiefly with hypertension (Pheochromocytomas, Neuroblastomas, and Gangliomas) and with the evaluation of Orthostatic Hypotension.

Quest Diagnostics test directory, test code 16381

Epinephrine Plasma

Laboratory
Quest Diagnostics
Test code
37560
Specimen
Plasma
Fasting
Required

What the laboratory says this test is for

This test, when used in conjunction with the measurements of other catecholamines, may aid in evaluating catecholamine-producing pheochromocytomas and paragangliomas (PPGLs). However, measurements of plasma free or urinary fractionated metanephrines (ie, the O-methylated catecholamine metabolites) are preferred for the initial biochemical evaluation of PPGLs because of their overall high diagnostic sensitivity [1].Most PPGLs secrete catecholamines and can cause catecholamine excess, resulting in hypertension, arrhythmia, and hyperglycemia. Left untreated, PPGLs often lead to life-threatening cardiovascular complications. The estimated prevalence of PPGLs is 0.05% to 0.1% in adults with hypertension and 1.7% in children with hypertension [2]. Recognizing the possibility of a PPGL and performing appropriate biochemical testing are crucial for the diagnosis [1]. Plasma or urine catecholamine levels may be used, in addition to metanephrine levels, to provide additional information during the initial biochemical evaluation of PPGLs (eg, when detecting dopamine-secreting paragangliomas) [2].Intermittent or insignificant secretion of catecholamines by some PPGLs may not increase catecholamine measurements. Physiological stress and certain medications (eg, acetaminophen, labetalol, and sotalol) may increase catecholamine measurements [1].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.⁠⁠⁠⁠⁠⁠⁠References1. Lenders JW, et al. J Clin Endocrinol Metab. 2014;99(6):1915-1942.2. National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology (NCCN Guidelines®). Neuroendocrine and Adrenal Tumors. V1.2022. Accessed June 28, 2022. http://www.nccn.org

Quest Diagnostics test directory, test code 37560

About this page

Everything above is drawn from the named sources and shown as they published it. Reference ranges belong to the laboratory that issued them and the population it named; they are not a universal normal. This page describes the biomarker in general and does not interpret anyone's result. For your own numbers, talk to a clinician, or use Aumnivida, which reads the same graph next to your records.

Found an error? Write to hello@biomarkerlens.com with the page link and the source that contradicts it.