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: Lactate Dehydrogenase, Serum or Plasma

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

: This test measures the amount of lactate dehydrogenase (LDH), an enzyme found in many tissues, in a sample of serum or plasma. It is used as a general marker of tissue damage or cell turnover.

Quick summary

[": LDH is a nonspecific enzyme marker that can rise when cells in various organs are damaged or turning over rapidly."]

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

Key facts at a glance

LOINC
49930-1
Short code
LDH Plr/SerPl
Synonyms
LDH Plr/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 Is Lactate Dehydrogenase?

: Lactate dehydrogenase is an enzyme involved in energy production that is present in nearly all cells of the body, including the liver, heart, muscle, blood cells, and lungs. When cells are injured or break down, LDH leaks into the bloodstream, so a blood level can reflect ongoing tissue stress or damage.

: Why the Test Is Ordered

: A healthcare provider may order an LDH level to help evaluate unexplained tissue damage, monitor certain blood disorders, assess hemolysis (breakdown of red blood cells), or follow conditions affecting the liver, heart, or other organs. It is often used alongside other tests rather than on its own.

: How the Sample Is Collected

: The test is performed on a blood sample, typically drawn from a vein in your arm. The specimen may be processed as serum or plasma depending on the laboratory. No special preparation is usually required unless your provider gives other instructions.

: Understanding Your Results

: An LDH result is interpreted in the context of your symptoms, medical history, and other lab tests, because many different conditions can raise or, less commonly, lower the level. Your provider will explain what your specific result means for you; reference ranges vary by laboratory.

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.

: LDH is a sensitive but nonspecific marker. Elevated levels can occur with hemolysis, liver disease, muscle injury, certain cancers, and other conditions, while isolated mild changes may not be meaningful. Results should always be interpreted together with clinical findings and additional testing.

Short name

: LDH

Frequently asked questions

: Does an elevated LDH mean I have a serious disease?
: Not necessarily. LDH can rise for many reasons, including temporary cell damage or red blood cell breakdown. Your provider will consider the result along with your symptoms and other tests to determine its meaning.
: Do I need to fast before an LDH blood test?
: Fasting is generally not required for an LDH test unless your provider has ordered other tests that need it. Follow any specific instructions given by your healthcare team.
: Can medications affect my LDH result?
: Some medications and conditions, such as vigorous exercise or slight red blood cell breakdown during sample handling, can influence LDH levels. Tell your provider about all medications and discuss any concerns about your result.
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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