LDH
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Summary
Lactate dehydrogenase (LDH) is an enzyme, consisting of five different isoenzymes, which catalyze the interconversion of L-lactate and pyruvate. LDH is present in the cytoplasm of all human tissues with higher concentrations in liver, heart and skeletal muscle and lower values in erythrocytes, pancreas, kidney and stomach. Increased LDH activities are found in a variety of pathological conditions such as myocardial infarction, cancer, diseases of liver, blood or muscle. However, because of the lack of organ specificity, determination of its isoenzymes or other enzymes such as alkaline phosphatase or ALAT/ASAT is necessary for differential diagnosis.
Method
Optimized UV-test according to IFCC (International Federation of Clinical Chemistry and Laboratory Medicine)
R1
N-Methyl-D-Glucamine L-Lactate
R2
NAD+
Warnings and Precautions
• Reagent 1 contains sodium azide (0.95 g/L) as preservative. Do not swallow! • In very rare cases, samples of patients with gammopathy might give falsified results • Please refer to the safety data sheets and take the necessary precautions for the use of laboratory reagents.
Wavelength
340/410 nm (bichromatic)
Measurement
Linear kinetics
Interfering substance
Ascorbic acid Bilirubin (conjugated) Bilirubin (unconjugated) Lipemia Sulfapyridine Sulfasalazine Hemoglobin
Conversion factor
0.0167
Reference Range
Female: < 247 U/L < 4.12 µkat/L Male: < 248 U/L < 4.14 µkat/L