Aldosterone-Renin Ratio Calculator

Calculate the aldosterone-to-renin ratio (ARR) for screening primary aldosteronism. Essential for endocrine evaluation and hypertension workup!

ARR = \frac{\text{Aldosterone}}{\text{Renin}} • 🩺 Endocrinology • 💊 Hypertension • 📊 Hormone Analysis

Laboratory Values

Patient Information

Clinical Context

Hormone Balance

Normal Balance

ARR Scale

0 20 30 50 100+

ARR Formula:

Reference Ranges:

Normal: <20 • Borderline: 20-30 • Elevated: 30-50 • High: >50

Interpretation Guide

Normal: <20
Borderline: 20-30
Elevated: 30-50
High: >50

ARR Clinical Guide

What is the Aldosterone-Renin Ratio?

The ARR is calculated as: ARR = \frac{\text{Aldosterone (ng/dL)}}{\text{Renin (ng/mL/h)}}

It's the primary screening test for primary aldosteronism, a common cause of secondary hypertension.

Interpretation Guidelines

  • Normal (<20): Low probability of primary aldosteronism
  • Borderline (20-30): Consider repeat testing or confirmatory tests
  • Elevated (30-50): Moderate probability, confirmatory testing recommended
  • High (>50): High probability, proceed with confirmatory testing

Factors Affecting ARR

  • Antihypertensive medications (especially ACE inhibitors, ARBs, diuretics)
  • Posture and time of day
  • Sodium intake and potassium levels
  • Age, gender, and pregnancy
  • Kidney function and other medical conditions

Clinical Applications

  • Screening for primary aldosteronism in hypertensive patients
  • Evaluation of resistant hypertension
  • Assessment of patients with hypokalemia
  • Follow-up after adrenalectomy