In blood both tissue-type plasminogen activator (t-PA) and its fast ac
ting inhibitor PAI-1 are present. Upon blood collection and plasma pre
paration the reaction between these components is still possible, lead
ing to an erroneously low determination of t-PA activity. In this stud
y the effect of handling speed, temperature and anticoagulant on the m
easured t-PA activity is determined. It was found that handling speed,
temperature and type of anticoagulant and PAI-1 level have influence
on the t-PA activity measured. Rapid acidification appears the method
of choice: Stabilyte vacutainers are the most suitable way for blood c
ollection for t-PA activity measurement.