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Heparin Induced Thrombocytopenia (HIT) / Anti Platelet Factor 4-Heparin (PF4-H) IgG Quantitative Test

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Heparin Induced Thrombocytopenia (HIT) / Anti Platelet Factor 4-Heparin (PF4-H) IgG Quantitative Test

Short Name: PF4-H IgG Quantitative Test

Also known as: HIT Test, PF4-H Antibody Test, Anti-PF4-Heparin IgG Test

Heparin Induced Thrombocytopenia (HIT) / Anti Platelet Factor 4-Heparin (PF4-H) IgG Quantitative Test test available at DNA Labs India for ₹16,000. Uses Chemiluminescent Immunoassay (CLIA) on Whole blood samples. Results in Reports available same day if sample received by 11 am.. Free home collection in 300+ cities across India.

ImmunoassayUnisexAdults🏠 Home Collection

🩺 Medically Reviewed By

Overview

To quantitatively measure levels of IgG antibodies against Platelet Factor 4-Heparin complex in the blood, aiding in the diagnosis and management of Heparin Induced Thrombocytopenia (HIT).

Test Code
703
Price
₹16,000
Sample Type
Whole blood
Result Time
Reports available same day if sample received by 11 am.
Fasting Required
Yes (8 hours)
Method
Chemiluminescent Immunoassay (CLIA)
Step 1

Sample Collection

Overnight fasting is preferred. Ensure a duly filled Coagulation Requisition Form (Form 15) is available.

Method: Venipuncture

Step 2

Laboratory Analysis

Blood sample collected via venipuncture into a 3 mL Blue Top (Sodium Citrate) tube. Mix thoroughly by inversion.

Step 3

Report Delivery

Transport sample to the lab within 4 hours. If delayed, prepare platelet-poor plasma (PPP) within 1 hour and freeze immediately.

Timeline: Reports available same day if sample received by 11 am.

Patient Instructions

1
Before the Test:Inform your doctor about all medications, especially heparin. Fast overnight if required.
2
During the Test:A blood sample will be drawn from a vein in your arm; minimal discomfort expected.
3
After the Test:Resume normal activities. Monitor for any signs of bleeding or bruising at the puncture site.

About This Test

Who Should Get This Test

To quantitatively measure levels of IgG antibodies against Platelet Factor 4-Heparin complex in the blood, aiding in the diagnosis and management of Heparin Induced Thrombocytopenia (HIT).

How to Prepare

  • Use a Blue Top (Sodium Citrate) tube for collection
  • Collect 3 mL of whole blood
  • Mix sample by gentle inversion 5-10 times
  • Transport to laboratory within 4 hours at room temperature
  • If transport is delayed, centrifuge to prepare PPP and freeze immediately

Doctor's Notes

Reviewed by — MBBS, MD (General Medicine) · Reg. No. 8052

"Early detection of HIT through quantitative IgG testing is critical for preventing life-threatening thrombosis. This test guides immediate clinical intervention."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole blood
Sample Volume3 mL
ContainerBlue Top (Sodium Citrate) tube
Collection MethodVenipuncture

Sample Stability

Room Temperature: 4 hours
Refrigerator (2-8°C): 4 hours
Frozen (-20°C): 2 weeks
Sample Rejection Criteria:
  • Clotted or hemolyzed samples
  • Improperly labeled or insufficient volume samples
  • Samples not stored or transported as per instructions

Understanding Your Results

Interpretation of the Anti-PF4-H IgG Quantitative Test results requires correlation with clinical findings and other laboratory tests such as platelet count.
Negative result (<0.4 U/mL): Suggests low likelihood of immune-mediated HIT; clinical correlation needed.
Positive result (≥0.4 U/mL): Indicates presence of PF4-Heparin IgG antibodies, supporting diagnosis of HIT; prompt clinical action required.
Equivocal result: May require repeat testing or additional diagnostic assays.
⚠️ When to Consult a Doctor:

Consult a doctor immediately if you experience symptoms such as skin rash, shortness of breath, chest pain, or swelling while on heparin therapy, or if test results are positive.

Limitations

  • Results must be interpreted in conjunction with clinical symptoms and platelet counts
  • May not detect all forms of HIT antibodies (e.g., IgA or IgM subtypes)
  • False positives can occur in certain autoimmune conditions

Risks & Considerations

  • Minor bruising or discomfort at the blood draw site
  • Rare risk of infection or excessive bleeding

Interfering Factors

  • Recent heparin therapy (within the past 2 weeks)
  • Sample hemolysis or improper handling
  • Interfering substances in the blood such as lipemia or icterus

Compare With Similar Tests

TestHeparin Induced Thrombocytopenia (HIT) / Anti Platelet Factor 4-Heparin (PF4-H) IgG Quantitative TestPlatelet Count TestD-Dimer Test
ComparisonHeparin Induced Thrombocytopenia (HIT) / Anti Platelet Factor 4-Heparin (PF4-H) IgG Quantitative TestMeasures platelet numbers; used alongside HIT test to assess thrombocytopenia.Detects fibrin degradation products; helps evaluate thrombosis risk.

Frequently Asked Questions

What is Heparin Induced Thrombocytopenia (HIT)?
HIT is a serious immune-mediated complication of heparin therapy that can cause blood clots, leading to heart attack, stroke, or death.
What does the PF4-H IgG Quantitative Test measure?
It measures the level of IgG antibodies against the Platelet Factor 4-Heparin complex in the blood, which are associated with HIT.
Who should get this test?
Patients on heparin with decreased platelet counts or symptoms like skin rash, shortness of breath, or swelling should consider this test.
How is the test performed?
A blood sample is collected in a sodium citrate tube, processed, and analyzed using Chemiluminescent Immunoassay (CLIA) in a laboratory.
What are the common symptoms of HIT?
Symptoms include skin rash, shortness of breath, chest pain, limb swelling, low blood pressure, or unusual bleeding/bruising while on heparin.
What is the cost of the test?
The cost is INR 16000 at DNA Labs India, with free home collection for online bookings across India.
How long does it take to get results?
Results are typically available same day if the sample is received by 11 am.
Is fasting required for the test?
Yes, overnight fasting is preferred to ensure accurate results.
What should I do if my test is positive?
Contact your healthcare provider immediately; heparin may need to be discontinued and alternative anticoagulants started.
Are there any risks associated with the test?
Risks are minimal, including minor bruising or discomfort at the blood draw site.
How accurate is the test?
The test is highly sensitive and specific for detecting PF4-H IgG antibodies, but results should be interpreted with clinical findings.
Can this test be done at home?
Yes, DNA Labs India offers free home sample collection for this test across India.
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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