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Lactate Dehydrogenase (LDH) Activity in Serum/Plasma

Published: August 9, 2026Updated: August 17, 2026

This test measures the activity of the enzyme lactate dehydrogenase (LDH), which plays a role in energy production in cells. It helps assess conditions affecting cell damage or metabolism.

Quick summary

["LDH helps diagnose and monitor conditions linked to cell injury or metabolic processes."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
2535-3
Short code
LDH1 SerPl Chem Sepn-cCnc
Synonyms
LDH1 SerPl Chem Sepn-cCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
140
Ref high
280
Critical range
— – 1000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
chemical-separation
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

What Is LDH Used For?

LDH is primarily used to identify and evaluate conditions that cause cell damage, such as heart attacks, muscle injuries, liver disease, or certain cancers. It can also help track the progression or response to treatment in these conditions.

How Is the Test Performed?

A blood sample is drawn from a vein, usually in the arm. The sample is then processed to measure LDH activity using specialized laboratory techniques.

Why Might My Doctor Order This Test?

Your doctor may recommend this test if you have symptoms like chest pain, muscle weakness, fatigue, or unexplained lab abnormalities. It can also be part of routine monitoring for chronic conditions.

What Are Possible Results?

Results are not provided in absolute numeric ranges here, as they vary by lab and condition. Elevated LDH levels may suggest tissue damage, while lower levels might indicate certain metabolic or genetic conditions.

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.

Elevated LDH levels can signal widespread cell damage, such as in heart attacks, muscle disorders, liver disease, or infections. Lower levels may be associated with specific genetic or metabolic disorders, but interpretation depends on clinical context and other test results. LDH is often used as a marker alongside other tests for diagnosis and management.

Short name

LDH Activity

Frequently asked questions

What Does an Elevated LDH Level Mean?
An elevated LDH level may indicate conditions causing cell damage, such as heart disease, muscle injuries, or liver problems. Your doctor will review your full medical history and other test results to determine the cause.
What Does a Low LDH Level Mean?
Low LDH levels can occur in certain genetic disorders or metabolic conditions. They may also be seen in some chronic diseases or during certain treatments. Always discuss results with your healthcare provider.
How Often Should I Get This Test?
The frequency depends on your health condition and doctor’s recommendations. Regular monitoring may be needed if you have chronic illnesses like heart disease, liver disease, or cancer.
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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 17, 2026. · Read our editorial policy