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Lactate Dehydrogenase (LDH) Activity in Serum/Plasma

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

This test measures the activity of the enzyme lactate dehydrogenase (LDH), which plays a role in energy production in cells. It helps identify conditions affecting cell damage or disease processes.

Quick summary

["LDH helps doctors assess damage to organs or tissues and certain health conditions."]

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

Key facts at a glance

LOINC
2531-2
Short code
LDH Prt-cCnc
Synonyms
LDH Prt-cCnc
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 LDH testing to evaluate symptoms like fatigue, muscle weakness, or organ-related issues. It’s often used alongside other tests to diagnose conditions such as heart attacks, liver disease, muscle disorders, or certain cancers. LDH can also help monitor treatment progress or detect recurrence of diseases.

What Does a High or Low LDH Level Mean?

Elevated LDH levels may indicate damage to cells in organs like the heart, liver, kidneys, or lungs, or conditions such as anemia, infections, or certain cancers. Lower levels are less commonly significant but may sometimes reflect certain genetic or metabolic conditions.

Common Conditions Linked to LDH Levels

High LDH is frequently associated with conditions like myocardial infarction (heart attack), liver disease, muscle injuries, or blood cancers. It can also appear in infections, autoimmune diseases, or metabolic disorders.

Sample Collection and Preparation

A blood sample is typically drawn from a vein in your arm. The blood is processed to separate serum or plasma, which is then sent to the lab for testing. Avoid strenuous activity or eating heavy meals before the test to ensure accurate results.

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 critical marker in diagnosing and managing diseases affecting cell integrity. It’s often used as part of a broader diagnostic panel to pinpoint the source of symptoms, guide treatment decisions, or monitor disease progression.

Short name

LDH Activity

Frequently asked questions

What Does It Feel Like to Get This Test?
You may feel a slight pinch or discomfort when the needle is inserted, but it usually goes away quickly. Most people tolerate blood draws with minimal issues. If you’re anxious, let your healthcare provider know so they can take steps to make it more comfortable.
How Often Should I Get This Test?
The frequency depends on your health condition and treatment plan. Your doctor will determine how often to check LDH levels based on your specific needs, such as monitoring chronic diseases or responding to treatment.
Can I Eat or Drink Before This Test?
You can usually eat and drink normally unless instructed otherwise by your doctor. Avoid alcohol or strenuous exercise for a few hours before the test to help ensure accurate results.
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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