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: Lactate Dehydrogenase 5, Serum or Plasma, by Electrophoresis

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

: This test uses electrophoresis to identify and measure the LDH-5 isoenzyme fraction in a serum or plasma sample. It helps show where lactate dehydrogenase is coming from in the body and can support evaluation of liver and other tissue conditions.

Quick summary

[": The LDH-5 fraction is the portion of lactate dehydrogenase most associated with liver and skeletal muscle, so its measurement can help clarify the source of a raised LDH."]

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

Key facts at a glance

LOINC
13890-9
Short code
LDH5 CFr Ur Elph
Synonyms
LDH5 CFr Ur Elph
Category
chemistry
Sample
urine
Container
Sterile urine container
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
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

: What Is Lactate Dehydrogenase?

: Lactate dehydrogenase (LDH) is an enzyme found in many tissues, including the liver, muscle, heart, and red blood cells. When cells are damaged or turn over quickly, LDH can leak into the blood, so a total LDH level is a general marker rather than a specific one.

: What the LDH-5 Fraction Means

: LDH exists in several forms called isoenzymes, and electrophoresis separates them into fractions. LDH-5 is the fraction most concentrated in the liver and skeletal muscle, so a relatively high LDH-5 can point toward those tissues as the source of an elevated total LDH.

: How the Test Is Done

: A routine blood sample is collected, and the laboratory separates the LDH isoenzymes by electrophoresis and measures the relative amount of each fraction, including LDH-5. Your care team interprets the result alongside your symptoms and other test results.

: What Results Can Indicate

: An elevated LDH-5 fraction may be seen with liver or muscle injury and some other conditions, while lowered fractions may occur in certain settings. Because results are not specific on their own, they are always interpreted together with the total LDH and other clinical information.

Reference range

Adult: 140-280 U/LN/A

Specimen: urine

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-5 is the isoenzyme fraction most associated with liver and skeletal muscle. Measuring it by electrophoresis can help distinguish the tissue source of an elevated total LDH, supporting evaluation of possible liver or muscle injury and certain hematologic conditions. Results should be interpreted by a clinician in the context of the full clinical picture, since isoenzyme patterns are not diagnostic by themselves.

Short name

: LDH-5 (Electrophoresis)

Frequently asked questions

: Does an elevated LDH-5 mean I have liver disease?
: Not necessarily. A high LDH-5 fraction can be associated with liver or muscle injury, but it is a nonspecific finding. Your clinician will consider it together with your symptoms, total LDH, other liver and muscle tests, and your medical history.
: Do I need to fast before this LDH isoenzyme test?
: Fasting is generally not required for an LDH isoenzyme measurement, but follow any instructions your ordering clinician or laboratory gives you, since other tests drawn at the same time may have their own preparation requirements.
: Can medications or exercise affect the LDH-5 result?
: Yes. Strenuous exercise can raise LDH through muscle effects, and some medications or conditions that cause cell damage can also influence results. Tell your clinician about your medications, recent activity, and any symptoms so the result can be interpreted correctly.
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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