Skip to content

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 activity can signal tissue injury or metabolic health."]

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

Key facts at a glance

LOINC
2540-3
Short code
LDH2 SerPl-cCnc
Synonyms
LDH2 SerPl-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
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 Is This Test Done?

Doctors may order LDH testing to investigate symptoms like muscle weakness, chest pain, or unexplained fatigue. It can also help diagnose conditions such as heart attacks, liver disease, muscle disorders, or certain cancers. LDH levels may rise when tissues are damaged, as the enzyme leaks into the bloodstream.

What Does the Result Mean?

Results are not given in absolute numbers but are compared to a baseline or reference range for your age and health status. Elevated LDH levels may indicate damage to cells in organs like the heart, liver, or muscles. Lower levels might be seen in certain genetic conditions or during recovery from illness.

Common Conditions Affecting LDH Levels

High LDH levels can be linked to conditions like heart attacks, liver disease (such as hepatitis), muscle disorders (like myositis), certain cancers, or infections. Low levels are less common but may occur in rare genetic disorders or during recovery phases.

How Is This Test Performed?

A blood sample is taken from a vein in your arm. The sample is sent to a lab where LDH activity is measured using an enzymatic method. No special preparation is needed, but fasting may be advised depending on the clinical context.

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.

◆Associated findings1

Short name

LDH Activity

Frequently asked questions

How long does it take to get my LDH test results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing schedule. Your healthcare provider will discuss the results with you during your follow-up visit.
Can lifestyle changes affect LDH levels?
While lifestyle factors like exercise or diet may influence overall health, they do not typically cause significant fluctuations in LDH levels on their own. However, conditions like muscle overuse or certain medications can indirectly impact LDH activity.
Is LDH testing painful?
The blood draw itself may cause mild discomfort, but it is generally well-tolerated. Most people experience only a slight pinch or pressure at the injection site. Ice can help reduce any swelling afterward.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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