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Lactate Dehydrogenase (LDH) Isoenzyme Profile (Serum/Plasma)

Published: August 9, 2026Updated: August 16, 2026

This test measures different forms (isoenzymes) of the enzyme lactate dehydrogenase (LDH) in your blood. LDH is involved in energy production, and its isoenzymes can help identify where in your body damage or disease may be occurring.

Quick summary

["LDH isoenzyme testing helps pinpoint specific tissue damage beyond general enzyme levels alone."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
51510-6
Short code
LDH1 CFr CSF Elph
Synonyms
LDH1 CFr CSF Elph
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Ref low
140
Ref high
280
Critical range
7.2 N/A – 7.6 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
electrophoresis
CPT
83615
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like chest pain, shortness of breath, or unexplained fatigue, especially if other tests suggest possible heart, muscle, or liver issues. It’s also used in monitoring conditions like heart attacks, muscle injuries, or certain cancers.

What to Expect Before the Test

No special preparation is usually needed. You’ll have a small needle inserted into your arm or vein to draw blood. If you’re on blood thinners, let your provider know before the test.

What the Results Mean

LDH isoenzyme results show which forms (e.g., LDH-1, LDH-2) are elevated. Higher levels of certain isoenzymes can indicate damage to specific tissues, such as the heart (LDH-1), muscle (LDH-3), or liver (LDH-5). Your provider will interpret these results in the context of your symptoms and other tests.

Common Conditions Monitored

This test helps diagnose or track conditions like myocardial infarction (heart attack), muscle injuries (e.g., from trauma or exercise), liver disease, or certain cancers (e.g., lymphoma). It’s also used in research or follow-up for suspected tissue damage.

Reference range

Adult: 140-280 U/LN/A

Specimen: csf

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

LDH Isoenzyme Test

Frequently asked questions

What questions might you have about this test?
Will this test show if I have a heart attack? LDH isoenzyme testing can help identify heart damage but isn’t the only test used. Your provider may order it alongside others like troponin to confirm or rule out a heart attack.
How long will I need to wait for results?
Results are typically available within 24–48 hours, depending on your lab’s processing time. Your provider will discuss them with you during your follow-up visit.
Can I eat or drink before this test?
No fasting is required for this test. However, if you’re taking medications, let your provider know before the procedure to avoid any delays or adjustments.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy