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Lactate Dehydrogenase (LDH) Activity in Serum/Plasma

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

This test measures the activity of an enzyme called lactate dehydrogenase (LDH), which plays a key role in energy production in your body. It helps assess conditions affecting cells, such as damage or disease.

Quick summary

["LDH helps identify cell damage or disease in your body."]

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

Key facts at a glance

LOINC
108826-9
Short code
LDH Msmt SerPl
Synonyms
LDH Msmt SerPl
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

What Does LDH Measure?

LDH is an enzyme found in many tissues, including the heart, liver, muscles, kidneys, and red blood cells. When cells are damaged (e.g., due to injury, infection, or certain diseases), LDH is released into the bloodstream. Measuring LDH helps doctors evaluate conditions like heart attacks, liver disease, muscle injuries, anemia, or certain cancers.

Why Might Your Doctor Order This Test?

Your doctor may order LDH testing if you have symptoms like fatigue, muscle pain, shortness of breath, or unexplained lab abnormalities. It’s also used to monitor conditions like liver disease, heart attacks, or to check for hidden cancers.

Common Conditions Linked to Elevated LDH Levels

High LDH levels may signal cell damage or disease, such as: - Heart attacks (myocardial infarction) - Liver disease (e.g., hepatitis, cirrhosis) - Muscle injuries or disorders (e.g., rhabdomyolysis) - Certain cancers (e.g., lymphoma, leukemia) - Anemia or blood disorders - Infections or severe illnesses

What Does a Low LDH Level Indicate?

Low LDH levels are less common but may occur in rare cases, such as: - Severe dehydration - Certain genetic disorders - Overproduction of red blood cells (polycythemia)

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: LDH’s Role in Diagnosis and Monitoring

Short name

LDH Activity

Frequently asked questions

How Often Will I Need This Test?
The frequency depends on your health condition. Your doctor may order it once or repeatedly to track changes over time, especially if you have an ongoing illness or treatment plan.
What Are the Possible Side Effects of This Test?
This blood test is generally safe and has minimal side effects. You may experience mild discomfort or bruising at the needle site, but no serious risks are associated with the procedure itself.
Can I Eat or Drink Before the Test?
For most LDH tests, you can eat and drink normally unless your doctor specifies otherwise. Follow any fasting instructions they provide, as they may vary for other related tests.
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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