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Lactate Dehydrogenase (LDH) Isoenzyme Profile by Electrophoresis (Serum/Plasma)

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

This test measures different forms (isoenzymes) of the enzyme lactate dehydrogenase (LDH) in your blood using electrophoresis, a technique that separates proteins based on size and charge.

Quick summary

["LDH isoenzymes help identify where in your body abnormal enzyme activity may be occurring."]

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

Key facts at a glance

LOINC
2539-5
Short code
LDH2 CFr SerPl Elph
Synonyms
LDH2 CFr SerPl 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

Why This Test Is Done

Doctors may order this test to investigate conditions affecting muscle, heart, liver, or red blood cells. Elevated levels of certain isoenzymes can signal damage in specific organs, such as the heart (cardiac LDH-1) or liver (LDH-5).

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for a few hours if your blood is drawn early in the morning. Wear a loose shirt for easy access to your arm.

How the Test Is Performed

A healthcare provider will draw blood from a vein in your arm using a needle. You may feel a small pinch, but it usually doesn’t cause discomfort afterward. The blood sample is then sent to a lab for electrophoresis to separate LDH isoenzymes.

What the Results Mean

Results show the relative amounts of different LDH isoenzymes, which can help pinpoint the source of tissue damage. For example, a higher proportion of LDH-1 might suggest heart muscle injury, while LDH-5 could indicate liver problems.

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 isoenzyme patterns are used to diagnose or monitor conditions like myocardial infarction (heart attack), muscle injuries, hemolytic anemia (red blood cell breakdown), or liver disease. Abnormal isoenzyme ratios can guide treatment decisions and help track disease progression.

Short name

LDH Isoenzyme Electrophoresis

Frequently asked questions

What does an LDH isoenzyme test measure?
This test measures the different forms (isoenzymes) of the enzyme lactate dehydrogenase (LDH) in your blood, separated by electrophoresis to identify which isoenzyme levels are elevated and where in your body they may be coming from.
How long does it take to get results from this test?
Results are typically available within 24 to 48 hours, depending on lab processing times and your healthcare provider’s workflow.
Can I eat or drink before this test?
No special diet is required, but if your blood is drawn early in the morning, you may be advised to fast for a few hours before the test to ensure accurate results.
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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