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Lactate Dehydrogenase (LDH) Activity in Serum/Plasma by Electrophoresis

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

This test measures the activity of lactate dehydrogenase (LDH), an enzyme found in many tissues, using electrophoresis to separate its different isoenzymes. LDH helps convert lactate to pyruvate, and its activity can indicate tissue damage or metabolic health.

Quick summary

["LDH helps diagnose conditions affecting muscle, liver, heart, or red blood cells."]

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

Key facts at a glance

LOINC
51513-0
Short code
LDH2 CFr Prt Elph
Synonyms
LDH2 CFr Prt 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

What Is LDH Electrophoresis Used For?

Electrophoresis separates LDH into its isoenzymes (e.g., LDH-1, LDH-2) based on their electrical charge. This can help pinpoint which tissues may be affected by conditions like heart attacks, liver disease, or certain cancers. For example, elevated LDH-1 is often linked to heart injury, while elevated LDH-5 may suggest muscle or liver damage.

How Is This Test Performed?

A blood sample is drawn, and the serum or plasma is analyzed using electrophoresis. The sample is placed in an electric field, causing proteins (including LDH isoenzymes) to migrate to different positions on a gel. The results are compared to a reference pattern to identify any shifts or elevations.

Why Might You Need This Test?

Your doctor may order LDH electrophoresis if you have symptoms like chest pain, unexplained fatigue, or signs of organ damage (e.g., jaundice for the liver). It’s also used in monitoring conditions like muscular dystrophy, anemia, or certain cancers where LDH levels can change over time.

What Do the Results Mean?

The test doesn’t provide a single number but shows the distribution of LDH isoenzymes. Abnormal patterns (e.g., high LDH-1 or LDH-5) may signal tissue stress or disease. Your doctor will interpret the results in the context of your symptoms and other tests.

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.

LDH electrophoresis helps identify tissue-specific damage by distinguishing between isoenzyme types. For instance, elevated LDH-1 is often associated with myocardial infarction (heart attack), while elevated LDH-5 may indicate muscle or liver injury. It’s also used in research or specialized diagnostics where isoenzyme patterns are critical.

Short name

LDH Electrophoresis Profile

Frequently asked questions

What causes LDH levels to change?
LDH levels can rise due to tissue damage (e.g., heart attacks, liver disease, infections), certain cancers, or blood disorders. However, since this test specifically looks at isoenzyme patterns, it’s more precise for diagnosing conditions like heart or muscle injury than a general LDH measurement alone.
How long does it take to get results?
Results from LDH electrophoresis are typically available within 24 to 48 hours, depending on lab processing times. Your doctor’s office will contact you once they’re ready.
Can lifestyle changes affect LDH electrophoresis results?
While extreme physical exertion or certain medications (e.g., some chemotherapy drugs) may temporarily affect LDH levels, lifestyle changes like diet or exercise alone usually don’t alter the isoenzyme pattern. Always discuss any medications or conditions with your doctor before testing.
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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