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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. Each isoenzyme can help identify where in your body damage or disease may be occurring.

Quick summary

["LDH isoenzyme testing helps pinpoint potential tissue injury or disease beyond general LDH levels alone."]

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

Key facts at a glance

LOINC
2536-1
Short code
LDH1 CFr SerPl Elph
Synonyms
LDH1 CFr SerPl Elph
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
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
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test to investigate symptoms like muscle pain, heart problems, liver issues, or red blood cell disorders. It can also help diagnose conditions such as heart attacks, muscle injuries, or certain cancers.

Your blood sample is analyzed to separate and measure different LDH isoenzymes using electrophoresis. This method helps identify which isoenzyme is elevated, which can indicate the specific tissue affected.

A blood sample is taken from a vein in your arm. The sample is then sent to a lab where it undergoes electrophoresis to separate LDH isoenzymes. Results are reported as a profile of different isoenzyme levels.

What to Expect Before the Test

No special preparation is needed, but you may want to avoid strenuous exercise or consuming certain foods (like red meat) 24 hours before the test if your doctor advises it.

Interpreting results involves looking at which isoenzymes are elevated. For example, certain patterns may suggest heart muscle damage, liver disease, or red blood cell breakdown. Your doctor will discuss these findings with you.

Elevated LDH isoenzymes can signal tissue damage across many organs, but the specific isoenzyme pattern helps narrow down the possible cause. Your doctor will correlate these results with your symptoms and medical history.

Reference range

Adult: 140-280 U/LN/A

Specimen: serum

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

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

LDH Isoenzyme Profile

Frequently asked questions

What does an elevated LDH isoenzyme profile indicate?
An elevated LDH isoenzyme profile can suggest tissue damage or disease in organs like the heart, liver, muscles, or red blood cells. The specific isoenzyme pattern helps guide further diagnosis.
Do I need to fast before this test?
No fasting is required for this test, but your doctor may recommend avoiding certain foods or activities for 24 hours before testing if they suspect a specific condition.
How long will it take to get my results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your doctor will discuss the findings with you during your follow-up visit.
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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