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Lactate Dehydrogenase (LDH) Activity in Serum/Plasma

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

Key facts at a glance

LOINC
51521-3
Short code
LDH5 CFr Plr Elph
Synonyms
LDH5 CFr Plr Elph
Category
chemistry
Sample
fluid
Container
Sterile tube
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
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

What Is LDH Used For?

LDH is commonly used to detect and monitor conditions that cause cell damage, such as heart attacks, muscle injuries, liver disease, or certain cancers. It can also help evaluate red blood cell disorders or metabolic disorders.

How Is the 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. Results are reported in units per liter (U/L) or other standardized units.

When Might You Need This Test?

Your healthcare provider may order an LDH test if you have symptoms like chest pain, muscle weakness, fatigue, or unexplained bruising. It’s also used in follow-up for known conditions like heart disease, liver problems, or cancer.

What Do Results Mean?

Elevated LDH levels may suggest damage to cells in organs like the heart, liver, or muscles. Lower levels might indicate certain metabolic or genetic conditions. Your results will be interpreted in relation to your symptoms and medical history.

Reference range

Adult: 140-280 U/LN/A

Specimen: fluid

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: LDH is a sensitive marker for tissue injury across multiple organ systems. While not specific to a single condition, elevated levels often prompt further investigation into potential causes like myocardial infarction, hemolysis, or malignancy.

Short name

LDH Activity

Frequently asked questions

Why was this test ordered for me?
Your doctor may have ordered LDH to check for cell damage, monitor a known condition, or investigate unexplained symptoms like fatigue, pain, or lab abnormalities. It helps assess overall health and guide treatment decisions.
What are typical reference ranges for LDH?
Reference ranges vary by lab and can depend on age, sex, and health status. Your results will be compared to your specific lab’s standards and discussed with your provider.
Can lifestyle changes affect LDH levels?
Yes, factors like intense exercise, muscle injuries, or certain medications may temporarily influence LDH levels. Your provider will consider these factors when reviewing 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 16, 2026. · Read our editorial policy