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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 function.

Quick summary

["LDH helps doctors identify potential issues like heart damage, muscle injury, or certain cancers."]

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

Key facts at a glance

LOINC
60017-1
Short code
LDH Fld P to L-cCnc
Synonyms
LDH Fld P to L-cCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
reaction-pyruvate-to-lactate
CPT
85610
SNOMED
396252006
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 Does LDH Measure?

LDH is an enzyme found in many tissues throughout the body. When cells are damaged—such as due to injury, infection, or disease—their contents, including LDH, can leak into the bloodstream. Measuring LDH helps evaluate how widespread or severe the damage might be.

Common Uses of LDH Testing

Doctors may order LDH tests to investigate symptoms like chest pain, muscle weakness, or unexplained fatigue. It’s also used in diagnosing conditions such as heart attacks, liver disease, red blood cell disorders, or certain types of cancer.

How Is the Test Performed?

A blood sample is taken from a vein in your arm. The blood is then sent to a lab, where LDH activity is measured using an enzymatic method. Results are typically available within 24 hours.

What Might Elevated LDH Levels Indicate?

Higher-than-normal LDH levels may suggest conditions causing cell damage, such as heart attacks, muscle injuries, infections, or certain cancers. However, LDH alone isn’t diagnostic—it’s often used alongside other tests for a full picture.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

LDH Test

Frequently asked questions

Why might my LDH test be ordered?
Your doctor may order an LDH test if you have symptoms like chest pain, muscle weakness, unexplained fatigue, or if they suspect conditions like heart disease, liver problems, anemia, or cancer.
What are the typical reference ranges for LDH?
Reference ranges vary by lab and can depend on factors like age, sex, and overall health. Your specific range will be provided with your results. They’re not always strict cutoffs but help guide further evaluation.
Can lifestyle changes affect LDH levels?
Yes, factors like intense exercise, muscle injuries, or certain medications can temporarily raise LDH levels. It’s important to discuss any recent changes in your activity or medications with your doctor before testing.
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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