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: Lactate Dehydrogenase 1 (LDH-1) Isoenzyme by Electrophoresis, Relative (Percentage) of Total LDH

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

: 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.

Quick summary

[": 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."]

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

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

Specimen: urine

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?
: It shows the percentage of your total LDH that is made up of the LDH-1 isoenzyme. This can help indicate which tissues may be contributing to an elevated LDH level.
: Do I need to fast before this test?
: Fasting requirements depend on your healthcare provider's instructions and the laboratory performing the test. Follow the preparation instructions you are given, and tell your provider about any medications you take.
: Can this test diagnose a heart attack?
: No. The LDH-1 fraction is not a stand-alone diagnostic test for a heart attack and has largely been replaced by more specific cardiac tests. It may provide supporting information, but your provider will rely on a broader set of tests and your symptoms.
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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