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Serum Lactate Dehydrogenase (LDH) Macroassay

Published: August 9, 2026Updated: August 17, 2026

This test measures the total activity of lactate dehydrogenase, an enzyme found in many tissues, including the heart, liver, and muscles. It helps assess cell damage or disease processes.

Quick summary

["LDH helps detect conditions affecting cells across the body, often linked to organ damage or inflammation."]

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

Key facts at a glance

LOINC
100742-6
Short code
LDH Macro SerPl Ql
Synonyms
LDH Macro SerPl Ql
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
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

Why Is This Test Done?

Doctors may order an LDH test to investigate symptoms like fatigue, chest pain, or unexplained bruising, which could signal underlying issues such as heart disease, liver problems, or certain cancers. It’s also used alongside other tests to monitor conditions like anemia or muscle disorders.

What Does a High or Low LDH Level Mean?

Elevated LDH levels may indicate damaged or stressed cells, often seen in conditions like heart attacks, liver disease, or infections. Low levels are less common but could suggest certain blood disorders or severe muscle wasting.

Common Conditions Linked to LDH Levels

High LDH is frequently associated with conditions like myocardial infarction (heart attack), liver cirrhosis, hemolytic anemia, or certain cancers. It may also appear in infections or severe muscle injuries.

Sample Collection and Preparation

This test uses a blood sample drawn from a vein, typically in your arm. The blood is processed into serum (the liquid part after clotting) for testing. No special preparation is needed, but fasting may be advised depending on your doctor’s instructions.

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 Macro Test (Serum)

Frequently asked questions

What might cause abnormal LDH levels?
Abnormal LDH levels can result from a wide range of conditions, including but not limited to heart disease, liver disease, certain cancers, blood disorders, infections, or severe muscle injuries. LDH is often used as a marker for cell damage or metabolic stress.
How long does it take to get results?
Results for LDH tests are usually available within 24 to 48 hours, depending on your lab’s processing schedule. Your doctor will discuss the results with you during your follow-up visit.
Can lifestyle changes affect LDH levels?
While LDH levels are influenced by underlying health conditions, lifestyle factors like diet, exercise, and smoking may indirectly affect overall health that could impact test results. Always follow your doctor’s guidance for optimal test interpretation.
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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