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Plasminogen Activator Inhibitor-1 (PAI-1) Test

DNA Labs India | ISO 9001:2015 Certified

Plasminogen Activator Inhibitor-1 (PAI-1) Test

Short Name: PAI-1 Test

Also known as: PAI-1 Antigen Test, Plasminogen Activator Inhibitor-1 Blood Test

Plasminogen Activator Inhibitor-1 (PAI-1) Test test available at DNA Labs India for ₹18,000. Uses Enzyme Immunoassay (EIA) on Plasma samples. Results in Sample should reach the lab by the 7th of the month; reports are available after 2–3 weeks.. Free home collection in 300+ cities across India.

Hematologist🏠 Home Collection

🩺 Medically Reviewed By

Overview

To quantify PAI-1 in plasma, evaluate fibrinolytic balance, and aid in assessing thromboembolic risk.

Test Code
3563
Price
₹18,000
Sample Type
Plasma
Result Time
Sample should reach the lab by the 7th of the month; reports are available after 2–3 weeks.
Fasting Required
No
Method
Enzyme Immunoassay (EIA)
Step 1

Sample Collection

No fasting is required. Inform your doctor about all medications, supplements, recent illness, surgery, or pregnancy. A duly filled Test Send Out Consent Form (Form 35) is mandatory.

Method: Venipuncture

Step 2

Laboratory Analysis

A trained phlebotomist will collect a blood sample from a vein in your arm. Mild discomfort may be felt at the puncture site.

Step 3

Report Delivery

Apply gentle pressure to the puncture site. Keep the area clean and dry. Most people can resume normal activities immediately.

Timeline: Sample should reach the lab by the 7th of the month; reports are available after 2–3 weeks.

Patient Instructions

1
Before the Test:No fasting is required. Complete the mandatory Test Send Out Consent Form and inform your doctor about medications and relevant medical history.
2
During the Test:A blood sample will be drawn from a vein. The procedure is quick and usually causes minimal discomfort.
3
After the Test:You may resume normal activities immediately. The laboratory will freeze and transport the plasma sample. Reports are generally available in 2–3 weeks.

About This Test

Who Should Get This Test

To quantify PAI-1 in plasma, evaluate fibrinolytic balance, and aid in assessing thromboembolic risk.

How to Prepare

  • Duly filled Test Send Out Consent Form (Form 35) is mandatory.
  • Collect 2 mL blood in 1 Blue Top (Sodium Citrate) tube; minimum 1 mL is acceptable.
  • Separate plasma immediately and freeze.
  • Ship frozen and do not thaw the sample.

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"PAI-1 is one piece of the thrombophilia puzzle; a single high level does not confirm a clotting disorder unless interpreted with the clinical picture."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypePlasma
Sample Volume2 mL (1 mL min.) plasma
Container1 Blue Top (Sodium Citrate) tube
Collection MethodVenipuncture

Sample Stability

Frozen
Room temperature
Refrigerated
Sample Rejection Criteria:
  • Sample not frozen or thawed during transport
  • Clotted sample
  • Hemolyzed specimen
  • Incorrect sample container
  • Incomplete or missing Form 35

Understanding Your Results

The PAI-1 value should not be interpreted in isolation. It is best reviewed with a haematologist because levels vary with acute illness, time of day, and assay.
📊

Normal PAI-1

PAI-1 level within the laboratory reference range; no increased PAI-1-mediated thrombotic tendency identified.

📊

Elevated PAI-1

May indicate reduced fibrinolysis and increased risk of venous or arterial thrombosis. Further thrombophilia testing and clinical correlation are recommended.

⚠️ When to Consult a Doctor:

Consult a doctor if you have abnormal test results, or if you develop symptoms of a blood clot such as chest pain, shortness of breath, leg pain or swelling, or sudden weakness or numbness on one side of the body.

Limitations

  • PAI-1 is not diagnostic by itself and must be interpreted with clinical history
  • A single measurement may not reflect long-term individual thrombotic risk
  • Reference ranges are assay- and laboratory-dependent
  • Not intended as a routine screening test for all cardiovascular conditions

Risks & Considerations

  • Mild pain or bruising at the venipuncture site
  • Dizziness or faintness during blood draw
  • Rare risk of infection or excessive bleeding

Interfering Factors

  • Recent acute events, surgery, infection, or trauma can raise PAI-1 as an acute-phase reactant
  • Pregnancy and estrogen-containing medications may alter PAI-1 levels
  • Smoking, obesity, and metabolic syndrome can be associated with elevated PAI-1
  • Diurnal variation may affect levels; morning samples are often preferred
  • Improper sample freezing or thawing may affect result accuracy

Compare With Similar Tests

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Frequently Asked Questions

What is the PAI-1 test?
The PAI-1 test measures the amount of plasminogen activator inhibitor-1 in plasma. PAI-1 is a protein that regulates blood clot breakdown or fibrinolysis.
Why is PAI-1 testing done?
It is done to evaluate a person's risk of abnormal blood clotting, especially in those with unexplained thrombosis, a family history of blood clots, or premature heart attacks.
What do high PAI-1 levels mean?
High PAI-1 levels can slow down clot breakdown and increase the risk of venous and arterial thrombosis. However, PAI-1 is also an acute-phase reactant, so levels can rise after surgery, infection, or an acute event.
How much does the PAI-1 test cost at DNA Labs India?
The test costs Rs 18,000 at DNA Labs India, and online bookings include free home sample collection.
Is fasting required before the PAI-1 test?
No, fasting is not required for the PAI-1 test. A duly filled Test Send Out Consent Form (Form 35) is mandatory.
What sample is needed for the PAI-1 test?
A 2 mL plasma sample is needed, collected in one Blue Top (Sodium Citrate) tube. A minimum of 1 mL plasma is required. The plasma must be separated and frozen immediately.
How long does it take to get PAI-1 test reports?
The sample should reach the lab by the 7th of the month, and reports are generally available after 2–3 weeks.
Can the PAI-1 test diagnose a blood clot?
No, PAI-1 testing is not used alone to diagnose an active blood clot. It is a risk marker and must be interpreted with other tests and medical history.
Does PAI-1 level change during pregnancy?
PAI-1 levels can be affected by hormones and pregnancy. Any interpretation should be done by the treating doctor.
Who should consider getting a PAI-1 test?
People with unexplained blood clots, recurrent thrombosis, a family history of clotting disorders, or early heart attack or stroke without obvious cause may benefit.
Is the PAI-1 test covered by insurance?
Coverage depends on the insurance policy and the reason for testing. It is advisable to check with your insurance provider before booking.
Are high PAI-1 levels treatable?
High PAI-1 is a risk factor, not a disease itself. Treatment focuses on reducing thrombosis risk through lifestyle changes, managing underlying conditions, and sometimes medication. Your doctor will decide the best plan.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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