Activated Protein C Resistance

APCR
Core Laboratory & Transfusion Medicine
Hematology
Blood
APCR2

MSH Coagulation requisition form (MS 520)

Activated Protein C Resistance (APCR) is associated with a point mutation in the Factor V gene (eg Factor V Leiden). This mutation slows the inactivation of factor Va by APC, causing a hypercoagulable state. Factor V Leiden is the most common cause of inherited thrombophilia.

Plasma (3.2% Na Citrate)

Full draw

Light Blue citrate tube
Collection Containers – Tube Types

The 9:1 blood/citrate ratio must be kept constant. Adjustments for the amount of anticoagulant should be made when the hematocrit is abnormal (above 55%). Mix immediately to prevent clotting.
Collection Instructions

Send whole blood sample(s) at room temperature as soon as possible.
If specimens cannot be shipped immediately, centrifuge and separate plasma within 1 hour of collection, send frozen plasma on dry ice

Fridge: N/A
Room Temperature: 2h,
Freezer: 6 months at -70ºC or below


Automated Coagulation Analyzer

Test may be requested at any time. Samples are aliquotted and frozen. The assay is run in batches.

Special arrangements made with Lab

1-4 weeks

APC Resistance: Not detected In case of discrepancies, always interpret results using reference ranges as stated on laboratory reports and/or electronic patient chart.

416-586-4800 Extension 4688

Must indicate anticoagulant status