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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 your body. It can help identify conditions affecting cells, such as damage or disease.

Quick summary

["LDH helps diagnose conditions like heart attacks, muscle injuries, or certain cancers."]

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

Key facts at a glance

LOINC
2541-1
Short code
LDH3 SerPl Chem Sepn-cCnc
Synonyms
LDH3 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 often checked alongside other tests to assess conditions like heart attacks (myocardial infarction), liver disease, red blood cell disorders, or muscle injuries. It can also be part of monitoring for certain cancers or infections.

How Is the Test Performed?

A blood sample is taken from a vein in your arm. The blood is processed to separate the serum or plasma, where the LDH enzyme activity is measured using a specialized lab test. The result is expressed in units per liter (U/L) or another standard unit.

What Does a High or Low LDH Level Mean?

Elevated LDH levels may suggest damage to cells, such as from a heart attack, liver disease, or certain cancers. Lower levels might be normal or could indicate conditions like anemia or certain genetic disorders, but this is less common. Your doctor will interpret results in the context of your overall health.

Common Conditions Linked to LDH Levels

High LDH is commonly seen in conditions like heart attacks, liver disease, muscle injuries, or blood cancers. Low LDH is less frequently abnormal and may require further evaluation by your healthcare provider.

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 is a useful marker for detecting or monitoring conditions that cause widespread cell damage. For example, it can help confirm a heart attack by detecting early changes in muscle cells. LDH may also be used to track the progression of certain cancers or infections, though it’s not always the sole test for these purposes. Your doctor will use LDH results alongside other tests and symptoms to guide diagnosis and treatment.

Short name

LDH Activity

Frequently asked questions

Why might my doctor order an LDH test?
Your doctor may order an LDH test if you have symptoms like chest pain (possible heart attack), unexplained fatigue, liver issues, muscle weakness, or if you’re being evaluated for conditions like anemia, cancer, or infections. LDH can also be part of routine monitoring for certain chronic diseases.
What are typical reference ranges for LDH?
Reference ranges for LDH vary by lab and can depend on factors like age, sex, and overall health. A normal range is not always straightforward, and your results will be compared to your specific lab’s standards. Your doctor will discuss your results in detail.
Can lifestyle changes affect LDH levels?
Yes, certain activities like intense exercise, muscle strain, or certain medications can temporarily raise LDH levels. However, elevated LDH due to conditions like heart disease or cancer is usually more persistent and requires medical evaluation.
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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