6 doctors weighed in:

Recent annual physicals reveal high ldh level(600+);all else is normal & i'm extremely healthy otherwise; should I be concerned?

6 doctors weighed in
Dr. Ralph Morgan Lewis
Family Medicine
3 doctors agree

In brief: Elevated LDH…

Can have multiple causes: anemias, liver disease, pancreatitis, infectious mononucleosis (epstein-barr virus), heart ischemia/attack, low blood pressure… since "all else is normal" your doc may want an ldh isoenzyme test & a detailed personal history to narrow down the possibilities.

In brief: Elevated LDH…

Can have multiple causes: anemias, liver disease, pancreatitis, infectious mononucleosis (epstein-barr virus), heart ischemia/attack, low blood pressure… since "all else is normal" your doc may want an ldh isoenzyme test & a detailed personal history to narrow down the possibilities.
Dr. Ralph Morgan Lewis
Dr. Ralph Morgan Lewis
Thank
2 comments
Dr. Robert Lang
First, repeat the test, It can be elevated when the red blood cells break before they are separated from the plasma and this is called hemolysis and is not unusual.
Dr. Ralph Morgan Lewis
Thanks for that reminder, Dr. Lang
Dr. Gurmukh Singh
Pathology
1 doctor agrees

In brief: Yes

As elevated a level of ldh as you have, should be resolved first by repeating the test, first thing in the morning, without exercising and in fasting state.
If still elevated, it is an indication of cell/tissue destruction, e.g., red cells, muscle, liver etc and would need to be investigated further. Subtypes of ldh can point to specific tissues that may be affected.

In brief: Yes

As elevated a level of ldh as you have, should be resolved first by repeating the test, first thing in the morning, without exercising and in fasting state.
If still elevated, it is an indication of cell/tissue destruction, e.g., red cells, muscle, liver etc and would need to be investigated further. Subtypes of ldh can point to specific tissues that may be affected.
Dr. Gurmukh Singh
Dr. Gurmukh Singh
Thank
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