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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 cells. It helps assess conditions affecting cell damage or metabolism.

Quick summary

["LDH helps identify tissue damage or metabolic issues by measuring enzyme activity in your blood."]

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

Key facts at a glance

LOINC
2544-5
Short code
LDH4 SerPl Chem Sepn-cCnc
Synonyms
LDH4 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 commonly used to diagnose or monitor conditions such as heart attacks, muscle injuries, liver disease, red blood cell disorders, and certain cancers. Elevated levels may suggest widespread tissue damage, while lower levels could indicate certain metabolic or genetic conditions.

How Is the Test Performed?

A blood sample is drawn from a vein in your arm. The serum or plasma is then tested for LDH activity using a specialized laboratory method, often enzymatic, to measure how quickly it converts lactate to pyruvate.

What Does a Result Mean?

Results are not provided with specific reference ranges, as they vary by lab and condition. Your healthcare provider will interpret the result in relation to your symptoms, medical history, and other test results.

Common Conditions Affecting LDH Levels

Elevated LDH levels may be linked to conditions like myocardial infarction (heart attack), muscle injuries (e.g., rhabdomyolysis), liver disease, hemolytic anemia (red blood cell breakdown), or certain cancers. Lower levels may be seen in rare metabolic disorders or during certain medications.

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.

Clinical Significance

Short name

LDH Activity

Frequently asked questions

Why might my doctor order this test?
Your doctor may order LDH testing to investigate symptoms like chest pain, unexplained fatigue, muscle weakness, or abnormal liver function tests. It can also help monitor chronic conditions or guide treatment decisions.
How soon will I get my results?
Results are typically available within 1–3 business days, depending on your lab. Your doctor will discuss the findings with you during your follow-up visit.
Can lifestyle changes affect LDH levels?
Yes, certain activities (e.g., intense exercise, muscle strain) or conditions (e.g., infections, dehydration) may temporarily influence LDH levels. Your doctor will consider these factors when interpreting your 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 17, 2026. · Read our editorial policy