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. 2015 Feb 16;2015(2):CD010438. doi: 10.1002/14651858.CD010438.pub2

1. Normal reference values for ROTEM and TEG.

  TEG ROTEM
Clotting time (period to 2 mm amplitude) R (reaction time)
N (whole blood) 4 to 8 min
N (Cit, kaolin) 3 to 8 min
CT (clotting time)
N (Cit, INTEM) 137 to 246 s
N (Cit, EXTEM) 42 to 74 s
Clot kinetics (period from 2 to 20 mm amplitude) K (kinetics)
N (WB) 1 to 4 min
N (Cit, kaolin) 1 to 3 min
CFT (clot formation time)
N (Cit, INTEM) 40 to 100 s
N (Cit, EXTEM) 46 to 148 s
Alpha angle (clot strengthening) α (slope between r and k)
N (WB) 47° to 74°
N (Cit, kaolin) 55° to 78°
 α (slope of tangent at 2 mm amplitude)
N (Cit, INTEM) 71° to 82°
N (Cit, EXTEM) 63° to 81°
Amplitude (at set time) A or CA A or CA
Maximum strength MA (maximum amplitude)
N (WB) 55 to 73 mm
N (Cit, kaolin) 51 to 69 mm
MCF (maximum clot firmness)
N (Cit, INTEM) 52 to 72 mm
N (Cit, EXTEM) 49 to 71 mm
N (Cit, FIBTEM) 9 to 25 mm
Lysis (at fixed time) CL30, CL60 LY30, LY60

TEG: N = normal values for kaolin‐activated TEG in native whole blood (WB) or citrated and recalcified blood samples (Cit)
 ROTEM: N = normal values for contact (partial thromboplastin phospholipids, INTEM), tissue factor (EXTEM) and tissue factor plus platelet inhibitor cytochalasin D (FIBTEM) activated citrated and recalcified blood samples
 Reference values depend on reference population, blood sampling technique, other preanalytical factors, and coagulation activator (Ganter 2008)
 min: minute(s)