• Published on: Sep 15, 2021
  • 5 minute read
  • By: Dr Rakesh Rai

Everything About Liver Function Tests- Purpose & Significance

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Everything About Liver Function Tests- Purpose & Significance

Liver function tests are medical laboratory tests that measure the number of various substances in the blood that are released into your blood by liver cells or made by your liver. These substances are often called "liver enzymes" because they are enzymes that are produced exclusively by the liver to help regulate metabolism for processing chemicals, nutrients, and drugs.

A high level of any one of these may suggest an abnormal situation involving your liver. The most common symptoms associated with a problem involving your liver include nausea, vomiting, yellowing skin color (jaundice), fever, and abdominal discomfort such as pain on gentle pressing around about halfway down on the right side of the abdomen.

A liver function test is a blood test that evaluates an individual's liver function or sees if there may be a problem in this organ. Liver functions including leukocyte count, alkaline phosphatase, ALT/AST enzymes, and bilirubin levels are measured with results interpreted by physicians who then advise treatment options to relieve pain or reduce the risk of liver disease. If the level of these agents is elevated then the physician will typically recommend further diagnostics such as antibody testing for hepatitis B and C infections, ultrasounds, and biopsies.

Liver function tests are a series of blood tests used to evaluate liver function. Tests may include the following:

  • Inclusion of serum albumin or total proteins as variables in the SMA12 test
  • Albumin fractional catabolic rate (ACR) and erythrocyte sedimentation rate (ESR) measurements, which can be used as a surrogate marker for changes in hepatocellular activity
  • Visible change is indicative that hepatocytes have been damaged or destroyed, an indicator that liver disease is present.
  • Fractional synthetic rate of albumin synthesis calculated from measurements of serum creatinine and urinary urea nitrogen providing information about hepatocyte intracellular mass status with decreased album

The most common of these are aminotransferases ALT and AST. These enzymes are released into the bloodstream in excessive amounts by the cells that line the bile ducts that carry bile from the liver - where it gets made - to where it gets used up in digestion ??i.e., all over your body, not just in your liver but also near your kidneys) when there's any sort of problem with those cells or with damage done to them because of some other hurtful event.

In the context of a medical lab test, a liver function test is anyone that has to do with the liver. Serum bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase are common ones. A veterinarian could use ultrasound as well as biochemistry analysis. These tests show how well your liver is performing its duty to remove toxins from your body and to make bile for those toxins.  Liver function tests are conducted to assess the liver's ability to convert inactive substances in your blood to active ones.

Alanine aminotransferase (ALT/SGPT): tests what process - amino acid, carbohydrate, or fat - your liver is having trouble breaking down to store sugar for later use indigestion. This test will only show what type of enzyme the liver has difficulty processing at this time, so if this is normal but an alkaline phosphatase test comes back abnormal, this means there may be a different illness affecting the liver.

The test can measure certain chemicals that are released because of metabolism and excreted from the body in urine, such as albumin.

The most common indicators measured by blood-based liver function tests include GGT, ALP, total bilirubin / conjugated/unconjugated bilirubin, ALT and ASAT.

A group of enzymes found in healthy livers called GOT (gamma-glutamyl transpeptidase) and GPT (gamma-glutamyltransferase) can also be measured to determine damage to liver cells.

Liver Function Tests (LFTs) are a group of tests that measure the levels and function of various substances in the blood leave before digestion and within the liver. These include enzymes and proteins made by the liver; cholesterol, copper, iron, calcium, sodium, potassium; bilirubin level; albumin levels. The LFTs can be used to help diagnose many diseases such as viral hepatitis or alcoholic liver disease.

A history would normally prompt additional testing such as abdominal imaging for gallstones or metabolic abnormalities like cirrhosis caused by alcohol consumption. Kidney function should be tested because high-protein diets may cause kidney problems too. A genetic test might be warranted if there is a family history of inheritance. Liver function tests are a group of blood tests that doctors might use to evaluate the liver's ability to gather and store glycogen (sugar) and protein, produce bile, filter the blood, and produce cholesterol.

Drugs can accumulate in liver cells, leading to changes in levels of enzymes. Enzymes that are elevated may indicate an inflammatory or viral process as well as the use of certain medications such as steroids which need some time to clear from the body after discontinuation. The test isn't specific for any disease but can show if there is a liver problem even before symptoms occur, including cirrhosis and early hepatitis B and C infections. When first conducted, rapid elevations or decreases might be indications of acute injury or pre-clinically chronic injury respectively.

The liver may be the body's most important gland. It synthesizes nutrients from fat, carbohydrates, and protein into a form that can be absorbed by the blood to supply the cells, brain, and other tissues with a continuous supply of fuel. The liver also acts as a storage center for high-density energy reserves in times of food shortage or famine.

In response to viruses or bacteria which enter from our gut through their ingestion of contaminated water or insects’ excretions for example), substances called antibodies are manufactured in great numbers by specialized cells in an inflammatory reaction known as acute hepatitis. LFT helps measure the liver's endurance, by testing erythrocyte count, serum albumin level, bilirubin level and prothrombin time.

It's normal for your erythrocyte count to drop over time as you age. This is due mainly to the production of fewer red blood cells in your bone marrow. It may provide an indication of what is happening inside the liver with regard to the regeneration of new cells. An elevated or persistently high level can indicate cirrhosis or cancer. If it's persistently high, then requires radiologic imaging for diagnosis.

The liver function tests are blood tests that tell the physician how well the liver is working. The enzymes GGT, ALT, AST, and ALP are primarily tested to examine what should be healthy activities through three phases of hepatic metabolism. Since these enzymes exist primarily in the liver, they do not normally show up in any other tissue or fluid other than the bloodstream. If there is a disease that affects the cells within the liver, then inflammatory processes will ensue. This will lead to excessive production of oxygen-free radicals to facilitate cell death and release toxins into circulation which can affect all body systems including altering enzyme quantities, so they bump up against their normal reference ranges for evaluation.

The purpose of liver function tests is to diagnose and monitor a person's condition, based on levels of certain enzymes in the blood.

A high level of transaminases might be due to a variety of diseases or conditions, including hepatitis, cirrhosis, biliary obstruction from gallstones, or pancreatitis. Liver disease disrupting the production and release of albumin will also produce abnormally low-level albumin which can be detected with this test. A qualitative determination can be made if large amounts of Clotting Factor VIII are released into the bloodstream - Hepaetous Patina (HP) - leading to severe bleeding episodes independent from coagulation defects where plasma clotting normally should take place.

Liver function tests measure the level of different substances produced or used by the liver, such as albumin. The liver conditions may include fatty liver (hepatic steatosis), alcoholic hepatitis, cirrhosis, and many disorders affecting other parts of the body which ultimately damage the working capacity of your liver. Liver function tests are not meant to detect acute hepatitis or mild cases of elevated enzyme levels that commonly resolve on their own. Normal results suggest that there is no abnormality with your kidneys. Abnormal livers often show high amounts of creatinine kinase (CK) and alanine aminotransferase (ALT).

The liver is the body's only organ able to break down toxic compounds, so its function must be checked. The example you gave -- SGPT, or aspartate aminotransferase -- measures the level of a major liver enzyme. High levels could indicate damage from drugs also used for weight loss, such as acetaminophen/paracetamol (Tylenol) or metformin (Glucophage). Too-low levels of hepatocyte enzymes mean that the liver's not functioning properly and may develop complications like hepatitis and cirrhosis.

Read Blog
Remote Cardiac Monitoring India: Transforming Heart Health Through Continuous Digital Tracking

Remote Cardiac Monitoring India: Transforming Heart Health Through Continuous Digital Tracking

Heart disease remains one of the leading causes of death in India. According to the Indian Council of Medical Research (ICMR), cardiovascular diseases account for nearly 28% of total deaths in the country. With rising stress levels, sedentary lifestyles, air pollution exposure, diabetes, hypertension, and delayed diagnosis, the need for better cardiac monitoring has grown significantly. Remote cardiac monitoring India is emerging as a powerful solution to monitor heart health in real time and detect abnormalities before they turn into emergencies.

Remote cardiac monitoring involves wearable or portable ECG devices that track heart signals continuously or at regular intervals. These devices transmit data securely to cardiologists or AI-based systems, enabling early detection of arrhythmias, rhythm abnormalities, ischemic patterns, and fluctuations in heart rate variability (HRV). SecondMedic brings cutting-edge remote monitoring options that help patients manage heart-related risks effectively, anytime and anywhere.

Why Remote Cardiac Monitoring Is Becoming Essential in India

India has a disproportionately high cardiac burden. Reports by WHO show that Indians suffer heart attacks at a younger age compared to global averages. Additionally, more than 50% of cardiac patients in India do not recognize early warning signs and reach hospitals late.

Remote cardiac monitoring helps solve these challenges by offering:

  • Early arrhythmia detection
     

  • Timely identification of heart stress
     

  • Post-surgery cardiac recovery supervision
     

  • Reduced hospital dependency
     

  • Continuous heart rhythm tracking
     

  • Better outcomes for chronic heart patients
     

With easy access to digital ECG devices, monitoring is no longer limited to hospitals.

How Remote Cardiac Monitoring Works

Remote cardiac monitoring uses smart ECG patches, chest straps, handheld ECG devices, and even AI-driven wearables. These devices record heart electrical activity or rhythm patterns and transmit the data to:

  • Cardiologists
     

  • Digital dashboards
     

  • AI algorithms
     

  • Care teams
     

The real-time nature of the data allows immediate response in case of abnormalities.

Core parameters captured include:

  • ECG waveform
     

  • Heart rate variability (HRV)
     

  • Arrhythmias (AFib, SVT, PVCs)
     

  • Tachycardia or bradycardia
     

  • QT interval abnormalities
     

  • Stress-related heart rhythm changes
     

SecondMedic ensures that the captured data is clinically relevant and accessible to both patients and doctors.

Patients Who Benefit Most from Remote Cardiac Monitoring

1. Post-Cardiac Surgery Patients

After angioplasty, bypass surgery, pacemaker implantation, or stent placement, patients require strict monitoring for weeks or months. Remote devices track recovery trends.

2. Individuals With Arrhythmia

Conditions like atrial fibrillation (AFib) require continuous monitoring, as episodes may come and go unpredictably.

3. Patients With Heart Failure

Monitoring helps evaluate worsening symptoms or cardiac stress.

4. High-Risk Individuals

Patients with diabetes, hypertension, obesity, or family history of heart disease benefit from early detection.

5. Elderly and Homebound Patients

Remote monitoring eliminates frequent hospital visits for routine ECG checks.

6. People Experiencing Palpitations

Intermittent symptoms can be captured and analyzed with wearable monitors.

Key Advantages of Remote Cardiac Monitoring

Early Detection Saves Lives

Abnormal rhythms such as atrial fibrillation can go unnoticed and lead to stroke. Remote monitoring detects these in real time.

Avoids Emergency Situations

AI alerts allow doctors to intervene early before symptoms worsen.

Better Long-Term Cardiac Care

Continuous data provides better insights than occasional clinic-based ECGs.

High Accuracy

Medical-grade ECG wearables match hospital-level precision for diagnosis.

Patient Convenience

Patients can monitor their heart health from home, office, or while traveling.

Improved Doctor Decisions

Trend-based cardiac data supports more accurate treatment planning.

Role of AI in Remote Cardiac Monitoring

AI and machine learning models analyze patterns collected from ECG devices.

AI enhances care by:

  • Identifying subtle abnormalities
     

  • Predicting arrhythmia events
     

  • Detecting ischemic trends early
     

  • Classifying ECG signal types
     

  • Reducing manual interpretation burden
     

SecondMedic integrates AI-assisted analysis to strengthen cardiac risk evaluation.

Post-Surgery and Rehabilitation Monitoring

Cardiac rehabilitation is crucial after major procedures. Remote monitoring provides:

  • Heart rate control
     

  • Blood pressure trend tracking
     

  • Rhythm abnormality detection
     

  • Activity monitoring
     

  • Medication adherence support
     

This reduces readmission rates and supports safer recovery.

Remote Cardiac Monitoring in Rural India

Many small towns lack cardiology specialists or advanced ECG equipment. Remote monitoring bridges this gap by:

  • Connecting patients to cardiologists virtually
     

  • Providing ECG analysis without hospital visits
     

  • Reducing delay in diagnosis
     

  • Supporting long-term monitoring at home
     

SecondMedic helps democratize heart care access across India.

Challenges and Solutions

Device Accuracy Variability

Solution: Use medical-grade, certified ECG wearables.

Digital Literacy Issues

Solution: Simple interfaces, guided onboarding, multilingual instructions.

Data Security

Solution: End-to-end encrypted data under DPDP Act compliance.

Connectivity Challenges

Solution: Devices with offline sync capabilities.

Future of Remote Cardiac Monitoring in India

The next decade will bring significant advancements:

  • Patch-based continuous ECG devices
     

  • AI-driven early warning scores
     

  • Smart pacemaker data integration
     

  • Multi-day continuous ECG monitoring
     

  • Predictive arrhythmia detection algorithms
     

  • Tele-ICU support for remote patients
     

SecondMedic is actively working to integrate next-generation cardiac monitoring tools into its platform.

Conclusion

Remote cardiac monitoring India is transforming heart care by enabling real-time ECG tracking, early abnormality detection, and continuous cardiologist oversight. This digital-first approach empowers high-risk patients, improves outcomes, and ensures safer long-term cardiac management. SecondMedic’s integrated digital heart monitoring solutions allow patients across India to access expert cardiac care anytime.

To explore remote cardiac monitoring solutions, visit www.secondmedic.com

 

References

  • ICMR - Cardiovascular disease burden
     

  • WHO - Early cardiac risk detection
     

  • NITI Aayog - Digital health innovation in India
     

  • ABDM - Unified digital health mission
     

  • Statista - Wearable and ECG device adoption India
     

  • SecondMedic cardiac care insights

See all

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