AST ALT Ratio Calculator

Liver function assessment using AST/ALT enzyme ratio

AST/ALT Ratio Calculation

U/L
Normal range: 10-40 U/L
U/L
Normal range: 7-35 U/L

AST/ALT Ratio Results

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AST/ALT Ratio
AST ÷ ALT
Not calculated
Enter AST and ALT values to calculate ratio
Enter values to get assessment

Medical Disclaimer

This AST/ALT ratio calculator is for educational purposes only and should not replace clinical judgment. The ratio must be interpreted alongside clinical symptoms, patient history, and additional laboratory tests. Always consult with hepatologists and gastroenterologists for proper liver disease assessment and management. Abnormal results require professional medical evaluation.

Ratio Interpretation

0.8-1.2Normal range
<1.0Non-alcoholic causes
1.0-2.0Possible cirrhosis
≥2.0Alcoholic hepatitis

Important: Interpretation depends on both ratio value and whether enzymes are elevated

Normal Ranges

AST (SGOT)
10-40 U/L
Also known as SGOT, ASAT
ALT (SGPT)
7-35 U/L
Also known as SGPT, ALAT

Normal ranges may vary between laboratories

Clinical Applications

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Differentiate alcoholic vs. non-alcoholic liver disease

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Screen for liver cirrhosis and fibrosis

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Monitor drug-induced hepatotoxicity

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Assess viral hepatitis patterns

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Guide additional diagnostic testing

Understanding AST and ALT

What are AST and ALT?

AST (Aspartate Aminotransferase) and ALT (Alanine Aminotransferase) are enzymes found in liver cells. When liver cells are damaged, these enzymes leak into the bloodstream, causing their levels to rise. The ratio between these enzymes provides valuable diagnostic information.

Key Differences

  • AST: Found in liver, heart, muscles, and kidneys
  • ALT: More specific to the liver
  • ALT elevation is more specific for liver damage
  • AST can be elevated in heart attack or muscle injury

Clinical Significance

AST/ALT ≥ 2.0
Alcoholic Hepatitis: Strong indicator of alcohol-related liver damage. Often accompanied by clinical signs of alcoholism.
AST/ALT > 1.0
Cirrhosis: May indicate advanced liver scarring and reduced function.
AST/ALT < 1.0
Non-alcoholic Causes: Viral hepatitis, drug toxicity, autoimmune conditions, NASH.

Important Considerations

Clinical Context: The ratio should always be interpreted with clinical symptoms, patient history, and additional tests.

Enzyme Levels: Both the ratio and absolute enzyme levels are important for diagnosis.

Additional Testing: May include bilirubin, albumin, PT/INR, imaging studies, and viral markers.

Follow-up: Serial measurements can help monitor disease progression and treatment response.