Aim:The serotonin level in platelet-poor plasma (PPP) is an important clinical marker for monitoring platelet activation accompanying vascular endothelial injury. We previously developed an HPLC method that combines column-switching with a post-column reaction to measure serotonin in PPP. This study determined serotonin levels in healthy volunteers and evaluated the possible relationship of serotonin levels with lipid markers and Framingham 10-year risk scores (FRS) for coronary heart disease. Methods: Serotonin was isolated from samples using our HPLC method and converted into a fluorescent derivative with benzylamine for specific and sensitive detection. Lipid fractionation was also performed by HPLC. FRS was calculated using the following: age, sex, LDL cholesterol, HDL cholesterol, blood pressure, and smoking and diabetes status.