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Lactate Dehydrogenase (LDH) Activity in Serum/Plasma

Published: August 9, 2026Updated: August 16, 2026

This test measures the activity level of the enzyme lactate dehydrogenase (LDH) in your blood. LDH helps convert lactate to pyruvate during energy production.

Quick summary

["LDH levels can help diagnose or monitor conditions affecting cells, such as heart attacks, muscle injuries, or certain cancers."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
48582-1
Short code
LH D3 SerPl-aCnc
Synonyms
LH D3 SerPl-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
1.5
Ref high
9
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83002
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 This Test Might Be Ordered

Your healthcare provider may order an LDH test to investigate symptoms like chest pain, unexplained fatigue, or signs of tissue damage. It’s also used to check for conditions like heart attacks, liver disease, red blood cell disorders, or certain types of cancer.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if it’s part of a broader metabolic or liver panel. Avoid strenuous exercise or consuming alcohol for 24 hours beforehand if advised.

What Happens During the Test

A healthcare professional will draw blood from a vein in your arm using a small needle. You may feel a brief pinch, but the process is quick. The blood sample is then sent to a lab for analysis.

What the Results Mean

LDH levels can vary based on health conditions, age, and other factors. Elevated levels may indicate damage to cells in organs like the heart, liver, or muscles, while lower levels might suggest certain blood disorders or genetic conditions.

Reference range

Follicular: 1.5-9.0 mIU/mLN/A

Specimen: serum

For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

LDH is a useful marker for detecting tissue damage or disease activity. For example, high LDH can signal a heart attack, liver disease, or infections. It’s also sometimes used alongside other tests to monitor conditions like anemia or certain cancers, though it’s not specific to any single disease.

Short name

LDH Activity

Frequently asked questions

When might my LDH levels be checked regularly?
Your provider may monitor LDH levels periodically if you have a chronic condition like heart disease, liver disease, or a blood disorder. It could also be part of routine cancer screenings or follow-ups for certain treatments.
What causes LDH levels to be higher than normal?
Elevated LDH can result from damage to cells in organs, such as the heart (e.g., during a heart attack), liver, or muscles. It may also be linked to infections, blood disorders, or certain cancers. Stress or trauma can also temporarily raise levels.
Do I need to do anything special if my LDH is elevated?
If your LDH is elevated, your provider may recommend further tests or adjustments to your treatment plan. Follow their guidance—this could include lifestyle changes, medications, or additional monitoring to address the underlying cause.
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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 16, 2026. · Read our editorial policy