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Lactate Dehydrogenase (LDH) Activity in Serum/Plasma (24-Hour Rate)

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

This test measures the activity of the enzyme lactate dehydrogenase (LDH) over a 24-hour period in your blood. LDH helps convert lactate to pyruvate and is found in many tissues, including the heart, liver, and muscles.

Quick summary

["LDH activity can help identify tissue damage or metabolic processes over time in your blood."]

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

Key facts at a glance

LOINC
47863-6
Short code
LDH 24h Ur-cRate
Synonyms
LDH 24h Ur-cRate
Category
chemistry
Sample
urine
Container
Sterile urine container
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
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

Why Is This Test Done?

Doctors may order this test to assess conditions affecting multiple organs, such as heart disease, liver problems, muscle injuries, or certain cancers. It can also help monitor metabolic health or response to treatments.

What Does It Measure?

The test measures the rate at which LDH converts lactate to pyruvate in your blood over 24 hours. Elevated or decreased rates may signal underlying issues like tissue damage, infections, or metabolic disorders.

Sample Collection and Preparation

A blood sample is drawn from a vein, typically in the arm. The sample is processed to separate serum or plasma, which is then analyzed for LDH activity. The 24-hour rate accounts for metabolic fluctuations over time.

Common Conditions Monitored

High LDH rates may indicate conditions like heart attacks, liver disease, muscle injuries, or certain cancers. Low rates could suggest metabolic imbalances or rare genetic disorders.

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.

Clinical significance of LDH activity involves evaluating tissue integrity, metabolic function, and disease progression. Elevated LDH is often associated with cell damage or increased lactate production, while low levels may reflect reduced enzyme activity or specific metabolic states.

Short name

LDH Rate (Serum/Plasma, 24h)

Frequently asked questions

What does a high LDH rate mean?
A high LDH rate may signal tissue damage (e.g., heart, liver, or muscle) or conditions like infections, anemia, or certain cancers. Your doctor will consider your symptoms and other test results to interpret results.
What does a low LDH rate mean?
A low LDH rate may occur with certain metabolic disorders, genetic conditions, or in rare cases of enzyme deficiency. It’s less common and often requires further evaluation with other tests.
How often is this test repeated?
Your doctor will determine how often to repeat this test based on your condition, symptoms, or treatment plan. Follow-up may be needed if initial results suggest an underlying issue.
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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