SGOT (AST) Test

Introduction
In the field of clinical diagnostics, liver function tests play a critical role in the early detection and management of liver-related disorders. One such significant test is the SGOT test, also known as AST (Aspartate Aminotransferase) test. This enzyme is found in various tissues of the body, particularly in the liver and heart. At HRTD Medical Institute, situated at Section-6, Block-Kha, Road-1, Plot-11, Mirpur-10, Dhaka-1216, we are committed to offering reliable and accurate SGOT testing services to help detect health problems at an early stage.
What is SGOT (AST) Test?
SGOT stands for Serum Glutamic-Oxaloacetic Transaminase, which is now more commonly referred to as AST (Aspartate Aminotransferase). It is an enzyme that facilitates the conversion of aspartate and alpha-ketoglutarate to oxaloacetate and glutamate. This enzyme is primarily located in the liver, heart, muscles, kidneys, and brain.
Under normal circumstances, AST levels in the blood are low. However, when any of the organs that contain AST are damaged, the enzyme is released into the bloodstream, causing its levels to rise. This makes the SGOT test an essential tool in diagnosing conditions such as liver disease, heart problems, and muscle disorders.
Importance of the SGOT (AST) Test
The SGOT test is vital for several reasons:
- Liver Health Monitoring
AST is often tested along with other liver enzymes like ALT (Alanine Aminotransferase) to assess liver health. Elevated AST levels can indicate liver inflammation, hepatitis, fatty liver disease, or cirrhosis. - Diagnosing Heart Conditions
Since AST is found in high concentrations in the heart, its levels may rise after a heart attack or other cardiac injury. - Detecting Muscle Damage
AST levels can also increase due to muscle injury, strenuous exercise, or muscle diseases. - Routine Health Screening
At HRTD Medical Institute, we recommend this test as part of routine health check-ups for individuals with symptoms like fatigue, jaundice, unexplained weight loss, or muscle pain.
When is the SGOT (AST) Test Advised?
A physician may recommend an SGOT test under the following circumstances:
- Symptoms of liver disease (e.g., yellowing of the skin or eyes, dark urine, abdominal pain)
- Suspected heart problems (e.g., chest pain, shortness of breath)
- Muscle weakness or pain
- As part of pre-operative assessments
- During regular health check-ups
- Monitoring the progression of chronic liver or heart disease
How the SGOT (AST) Test is Performed
At HRTD Medical Institute, the SGOT test is conducted in our state-of-the-art diagnostic facility. The procedure is quick, safe, and requires minimal preparation:
- Sample Collection
A certified phlebotomist will draw a small amount of blood from a vein in your arm using a sterile needle. - Processing
The sample is sent to our on-site laboratory where it is analyzed using advanced biochemistry analyzers. - Report Generation
Within a few hours, the results are reviewed by our laboratory specialists and shared with the patient or referring physician.
Normal Reference Range of SGOT (AST) Test
While reference values may slightly differ from lab to lab, the typical normal range of AST/SGOT is:
- Men: 10 to 40 units per liter (U/L)
- Women: 9 to 32 units per liter (U/L)
At HRTD Medical Institute, our reports include precise reference ranges and expert interpretation to assist in accurate diagnosis.
Causes of Elevated SGOT Levels
Elevated AST levels may indicate:
- Liver Conditions: Hepatitis, alcoholic liver disease, cirrhosis, fatty liver
- Heart Issues: Recent myocardial infarction (heart attack), myocarditis
- Muscle Disorders: Muscular dystrophy, rhabdomyolysis
- Other Causes: Pancreatitis, hemolytic anemia, kidney failure, intense physical activity
It’s essential to interpret SGOT results alongside other liver enzymes like ALT and ALP for a comprehensive diagnosis.
Interpretation of SGOT (AST) TestResults
Understanding the results of the SGOT test requires considering multiple factors, including other enzyme levels, patient symptoms, and medical history. At HRTD Medical Institute, we ensure every test result is interpreted by experienced medical professionals to support accurate diagnosis and treatment planning.
Mildly Elevated AST Levels
A small rise in AST may not always indicate severe damage. It can be caused by:
- Minor liver inflammation
- Physical exertion or muscle injury
- Alcohol intake
- Certain medications
Moderately to Highly Elevated AST Levels
Significantly elevated AST levels often point to more serious conditions:
- 10–100 times higher than normal: Seen in acute hepatitis, especially viral or drug-induced.
- 3–5 times higher than normal: May be due to chronic liver conditions, cirrhosis, or cardiac damage.
- High AST with normal ALT: May suggest non-liver sources like heart or muscle injury.
Our team at HRTD Medical Institute correlates SGOT levels with ALT, ALP, bilirubin, and clinical symptoms for a precise evaluation.
What Do Low SGOT (AST) Test Levels Mean?
While elevated levels are more concerning, extremely low AST levels are rarely significant. However, persistently low levels may sometimes be associated with:
- Vitamin B6 deficiency
- Chronic kidney disease
Still, low SGOT usually does not pose a clinical problem and rarely requires medical intervention.
SGOT vs. ALT: Understanding the Difference
Both SGOT (AST) and ALT (Alanine Aminotransferase) are liver enzymes, but there are key differences:
Feature | SGOT (AST) | ALT |
Found in | Liver, heart, muscles, kidneys | Mainly in the liver |
More specific to | Heart and muscle damage | Liver damage |
Half-life | Shorter (~17 hours) | Longer (~47 hours) |
Diagnostic Value | Heart and liver conditions | Liver-specific conditions |
At HRTD Medical Institute, both tests are usually ordered together to provide a complete picture of liver and systemic health.
Preparing for the SGOT (AST) Test
The SGOT test is relatively simple, and no extensive preparation is typically needed. However, for the most accurate results, we advise the following at HRTD Medical Institute:
Pre-Test Guidelines
- Fasting: Not always required, but some doctors may recommend fasting for 8–12 hours.
- Avoid alcohol: For at least 24 hours before the test.
- Discontinue certain medications: Such as statins, antibiotics, or painkillers—only if your doctor advises.
- Inform your doctor about any supplements or herbal medicines you’re taking.
During the Test
- A blood sample will be collected.
- The process takes less than 5 minutes.
- Minimal discomfort is expected.
After the Test
- Resume normal activities immediately.
- Apply light pressure if minor bruising appears.
Our friendly staff at HRTD Medical Institute ensures your testing experience is smooth, comfortable, and safe.
Factors That Can Influence SGOT Levels
Several factors can affect SGOT (AST) Test results. These include:
- Medications
Drugs like aspirin, antibiotics, anti-seizure medicines, statins, and chemotherapy agents can elevate AST levels. - Alcohol Consumption
Chronic or excessive drinking can damage liver cells and raise AST levels. - Vigorous Physical Activity
Strenuous exercise before the test may lead to temporary muscle-related AST elevation. - Infections and Inflammation
Viral illnesses or inflammatory conditions may affect enzyme levels. - Pregnancy
SGOT levels can sometimes be altered due to physiological changes during pregnancy.
At HRTD Medical Institute, our specialists take all these factors into account before making any clinical judgment.
Who Should Get Tested?
The SGOT test is beneficial for many individuals, especially those at risk of liver or heart disease. You may need the test if you:
- Have a history of liver disorders
- Consume alcohol regularly
- Are obese or diabetic
- Experience unexplained fatigue or jaundice
- Are on medications that affect the liver
- Have a family history of liver or heart disease
- Undergo regular health check-ups

Follow-Up and Next Steps
If your SGOT levels are abnormal, your doctor at HRTD Medical Institute may recommend:
- Repeating the test after a few weeks
- Additional liver function tests (ALT, ALP, GGT, bilirubin)
- Imaging tests like ultrasound or CT scan
- Liver biopsy in certain cases
- Lifestyle modifications, medication changes, or treatment for the underlying condition
Why Choose HRTD Medical Institute for SGOT (AST) Test?
1. Accurate and Reliable Results
Our modern laboratory is equipped with automated analyzers, ensuring quick and precise test results.
2. Expert Medical Oversight
All test interpretations are reviewed by experienced pathologists and clinicians.
3. Affordable Pricing
We maintain competitive pricing while ensuring high-quality diagnostic services.
4. Convenient Location
Located at Section-6, Block-Kha, Road-1, Plot-11, Mirpur-10, Dhaka, our center is easily accessible from all parts of the city.
5. Patient-Centric Services
We prioritize your comfort, privacy, and satisfaction at every step of the testing process.
Frequently Asked Questions (FAQs) About the SGOT (AST) Test
1. Is the SGOT (AST) Test painful?
No. The SGOT test only involves a small blood sample. You might feel a slight pinch during needle insertion, but the discomfort is minimal and temporary. At HRTD Medical Institute, our experienced phlebotomists ensure a comfortable process for all patients.
2. How long does it take to get SGOT (AST) Test results?
Typically, test results are available within a few hours. We offer same-day reporting at HRTD Medical Institute to support faster clinical decisions.
3. Can I take the SGOT (AST) Test while on medication?
Yes, but you should always inform your healthcare provider about any medications or supplements you’re taking. Certain drugs may influence enzyme levels and affect results.
4. Is SGOT (AST) Test done alone or with other tests?
It is usually done alongside other liver function tests (LFTs), including ALT, ALP, bilirubin, and GGT, to provide a comprehensive view of liver health.
5. Can exercise affect my SGOT levels?
Yes. Intense physical activity before the test may raise SGOT due to temporary muscle strain. We recommend avoiding strenuous exercise for at least 24 hours before testing.
6. Do I need to fast before taking the SGOT (AST) Test?
Fasting is not strictly required, but some doctors prefer it for better accuracy, especially if multiple blood tests are being performed together.
Real-Life Clinical Application at HRTD Medical Institute
To better understand how SGOT (AST) Test can influence medical decisions, here are a few real-world case examples from clinical practice at HRTD Medical Institute, Dhaka:
Case Study 1: Fatigue and Elevated Enzymes
Patient: 42-year-old male
Complaint: Unexplained fatigue, loss of appetite
Findings: SGOT – 86 U/L; ALT – 92 U/L
Diagnosis: Non-Alcoholic Fatty Liver Disease (NAFLD)
Outcome: After early diagnosis through SGOT/ALT testing, the patient received dietary counseling and liver-protective medication. Liver enzyme levels normalized within 3 months.
Case Study 2: Post-Heart Attack Evaluation
Patient: 58-year-old male
Complaint: Chest pain and weakness
Findings: SGOT – 120 U/L; ECG positive for myocardial infarction
Diagnosis: Acute heart attack
Outcome: The SGOT test supported the diagnosis and was used to monitor cardiac enzyme trends during recovery.
Case Study 3: Chronic Alcohol Use
Patient: 35-year-old male
Complaint: Yellowing of skin and eyes
Findings: SGOT – 135 U/L; ALT – 70 U/L (AST/ALT ratio > 2)
Diagnosis: Alcoholic Hepatitis
Outcome: After counseling and medical intervention, SGOT levels began to decrease with alcohol abstinence.
These cases show how SGOT (AST) Test at HRTD Medical Institute can significantly aid in the early detection and effective management of liver and cardiac conditions.
Preventive Measures for Liver and Heart Health
Maintaining healthy SGOT levels requires lifestyle modifications and regular medical check-ups. Here are the most effective strategies recommended by our medical team at HRTD Medical Institute:
1. Avoid Alcohol Abuse
Alcohol is a major contributor to liver damage. Limit or eliminate alcohol to protect liver cells.
2. Eat a Balanced Diet
A healthy diet rich in antioxidants, fiber, and lean protein helps liver regeneration and overall body repair.
3. Exercise Regularly (But Wisely)
Moderate exercise supports cardiovascular health and reduces fat around the liver. However, excessive workouts can raise SGOT temporarily due to muscle breakdown.
4. Maintain a Healthy Weight
Obesity increases the risk of fatty liver disease, diabetes, and cardiovascular issues—all of which can impact SGOT levels.
5. Take Medications Responsibly
Use medicines only under supervision. Avoid self-medication, especially with painkillers or antibiotics, as many drugs are metabolized by the liver.
6. Schedule Regular Health Screenings
At HRTD Medical Institute, we offer full liver function test packages and health check-up plans to monitor your organ function and metabolic status.
Future of SGOT (AST) Test and Technological Advancements
With the advancement of medical technologies, SGOT (AST) Test has become faster, more reliable, and affordable. At HRTD Medical Institute, we use automated biochemistry analyzers that offer high sensitivity and precision, reducing the chances of human error.
Additionally, electronic health record integration and telemedicine services help us provide:
- Instant access to test results
- Virtual consultations
- Digital prescriptions
- Regular follow-ups and reminders
These innovations are part of our commitment to staying at the forefront of diagnostic healthcare in Bangladesh.
Conclusion
The SGOT (AST) Test is an essential diagnostic tool that provides valuable insights into the health of the liver, heart, and muscles. It serves as a marker of cellular damage and is especially useful when combined with other liver function tests.
At HRTD Medical Institute, we recognize the critical role of timely diagnostics in preventing complications and improving outcomes. With a team of experienced healthcare professionals, cutting-edge laboratory equipment, and patient-centered care, we are proud to serve the Mirpur-10, Dhaka community and beyond.
Whether you’re experiencing symptoms, managing a chronic condition, or simply looking for a routine check-up, the SGOT test can be a vital step toward understanding your health better. Trust HRTD Medical Institute for accurate testing, expert interpretation, and compassionate care—every step of the way.
Contact Information
HRTD Medical Institute
📍 Section-6, Block-Kha, Road-1, Plot-11
Metro Rail Pillar-249, Folpotti Mosque Lane
Mirpur-10, Dhaka-1216
📞 Phone: 01797522136 | 01987073965 | 01784572173