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AST

Definition

AST (aspartate aminotransferase) is an enzyme found in high amounts in heart muscle and liver and muscle cells. It is also found in lesser amounts in other tissues.

This article discusses the test to measure the amount of AST in the blood.

Alternative Names

Aspartate aminotransferase; Serum glutamic-oxaloacetic transaminase; SGOT

How the test is performed

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

How the test will feel

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

Why the test is performed

This test is mainly done along with other tests (such as ALT, ALP, and bilirubin) to diagnose and monitor liver disease.

Normal Values

The normal range is 10 to 34 IU/L.

Note: IU/L = international units per liter

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

The examples above show the common measurements for results for these tests. Some laboratories use different measurements or may test different specimens.

What abnormal results mean

Diseases that affect liver cells increase the levels of AST. However, increased levels of AST alone do not diagnose liver disease. Measuring ALT at the same time can help narrow the cause of the abnormal test results.

An increase in AST levels may be due to:

AST levels may also increase after:

  • Burns (deep)
  • Heart procedures
  • Seizure
  • Surgery

What the risks are

Veins vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.

Risks associated with having blood drawn are slight but may include:

  • Bleeding from where the needle was inserted
  • Fainting or feeling light-headed
  • Hematoma (blood collecting under the skin)
  • Infection (a slight risk any time the skin is broken)

Special considerations

AST levels may rise during pregnancy and after exercise.

References

Berk PD, Korenblat KM. Approach to the patient with jaundice or abnormal liver test results. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 150.

Pratt DS. Liver chemistry and function tests. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 73.


Review Date: 2/20/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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