: Lactate Dehydrogenase 1 (LDH-1) Isoenzyme by Electrophoresis, Relative (Percentage) of Total LDH
: This test measures the fraction of lactate dehydrogenase that comes from the LDH-1 isoenzyme, separated by electrophoresis, and expresses it as a relative percentage of total LDH. It is used mainly to help identify the tissue source of an elevated LDH.
[": The LDH-1 relative fraction shows how much of your total LDH comes from the LDH-1 isoenzyme, most associated with heart and red blood cell tissue."]
Key facts at a glance
- LOINC
- 13886-7
- Short code
- LDH1 CFr Ur Elph
- Synonyms
- LDH1 CFr Ur Elph
- Category
- chemistry
- Sample
- urine
- Container
- Sterile urine container
- 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
- 10 mL
- Stability
- Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 4–24 hours
- Order
- routine
: What This Test Measures
: Lactate dehydrogenase (LDH) is an enzyme found in many tissues, including the heart, red blood cells, liver, and skeletal muscle. Your total LDH can rise for many reasons. The LDH-1 fraction specifically reflects the proportion of LDH-1 among the different LDH isoenzymes, which are separated by a laboratory technique called electrophoresis.
: How the Sample Is Collected
: This test is usually performed on a blood sample drawn from a vein. In some cases, the specimen may be serum or plasma, depending on the laboratory. Your healthcare provider will tell you if any special preparation, such as fasting, is needed.
: What the Results May Mean
: A relative LDH-1 result that is higher than expected can suggest that more of the LDH in your blood is coming from tissues rich in LDH-1, such as the heart or red blood cells. A lower relative fraction may point toward other tissue sources. Results are interpreted together with your total LDH and other tests, so a fraction alone is rarely enough to reach a conclusion.
: Important Limitations
: This is a specialized laboratory test, and results depend on the method and the laboratory performing it. Relative fractions alone cannot confirm a specific diagnosis. Reference ranges vary by laboratory, and your provider should interpret your results in the context of your symptoms, medical history, and other testing.
Reference range
Adult: 140-280 U/LN/A
No special preparation required. Inform provider of any chest pain or symptoms.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
: Measurement of the relative LDH-1 fraction by electrophoresis can help localize the tissue source of an elevated total LDH. It has historically been used as a supportive marker in assessing heart muscle injury and certain blood disorders, but it is not specific on its own. Results must be interpreted alongside total LDH, other biomarker tests, and your clinical picture. The test does not by itself diagnose or exclude any condition.
Short name
: LDH-1 Relative Fraction
Frequently asked questions
: What does a relative LDH-1 fraction test show?
: Do I need to fast before this test?
: Can this test diagnose a heart attack?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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