ACTH stimulation test
ACTH stim·u·la·tion test
ACTH stimulation test
Patient care
Synthetic adrenocorticotropic hormone (ACTH) is injected intravenously, and the serum cortisol level is measured at timed intervals (30 or 60 min after the injection). A patient with normal adrenal function will respond to the test with increased serum cortisol levels above 18 µg/dl. Serum cortisol levels < 15 µg/dl are diagnostic of adrenal insufficiency. The test has been traditionally performed with an injection of 250 µg of ACTH, but studies have shown that 1 µg is an equally effective test dose.