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Lactate Dehydrogenase (LDH) Activity in Serum or Plasma

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

This test measures the activity of the enzyme lactate dehydrogenase (LDH), which plays a role in converting lactate to pyruvate during energy production in cells.

Quick summary

["LDH helps identify conditions affecting cell damage or metabolism."]

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

Key facts at a glance

LOINC
2530-4
Short code
LDH Plr-cCnc
Synonyms
LDH Plr-cCnc
Category
chemistry
Sample
fluid
Container
Sterile tube
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
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 often checked alongside other tests like creatine kinase (CK) or alanine aminotransferase (ALT) to help diagnose conditions such as heart attacks, muscle injuries, liver disease, or certain cancers. Elevated levels may suggest widespread tissue damage, while lower levels could indicate certain metabolic or genetic disorders.

How Is the Test Performed?

A blood sample is drawn from a vein in your arm. The blood is then processed to separate serum or plasma, and the LDH activity is measured using an enzymatic method that detects its ability to convert lactate to pyruvate over time.

Why Might You Need This Test?

Your healthcare provider may order LDH testing if you have symptoms like chest pain, muscle weakness, fatigue, or unexplained bruising, or if you have a known condition that could affect LDH levels, such as heart disease, liver disease, or anemia.

What Do Results Mean?

Results are not provided with specific reference ranges, as they depend on the clinical context and other factors. Elevated LDH levels may signal tissue injury or disease, while normal or low levels do not definitively rule out any condition. Your doctor will interpret results 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

Short name

LDH Activity

Frequently asked questions

Why was I asked to have this test?
Your doctor may have recommended this test to assess for conditions like heart attacks, muscle injuries, liver problems, or certain cancers. It can help track how your body is responding to treatment or monitor chronic conditions.
What do my results mean?
Results alone do not indicate a diagnosis. They are part of a larger picture, including your symptoms, medical history, and other test results. Your healthcare provider will explain what your LDH levels suggest based on your situation.
Can I eat or drink before this test?
You may eat and drink normally unless instructed otherwise. Avoiding alcohol or strenuous activity for 24 hours before testing may help ensure more accurate results, especially if you have a suspected muscle or heart issue.
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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