Information about a laboratory test

CK-MB: What Does This Test Measure?

The CK-MB test measures the CK-MB isoenzyme of creatine kinase, which is relatively enriched in heart muscle but is not completely heart-specific.

Test summary

Test name
CK-MB
Abbreviations
CK-MB
Category
Cardiac / Muscle Biomarkers
Panel
Cardiac Injury Assessment
Specimen
Serum / plasma
Common units
ng/mL, U/L (method-dependent)

What does the test measure?

The CK-MB test measures the CK-MB isoenzyme of creatine kinase, which is relatively enriched in heart muscle but is not completely heart-specific.

Why is the test ordered?

It is used when heart muscle injury is suspected, especially in acute chest-pain evaluation, together with symptoms, ECG findings and often serial measurements.

Information about a low result

A low value is usually not interpreted as a clinical problem by itself; the purpose of testing and laboratory context matter.

Information about a high result

High CK-MB can occur with cardiac or skeletal-muscle injury. For myocardial injury, troponin is generally more specific and preferred in current practice.

Reference and clinical context

Start with the performing laboratory's reference interval, unit, specimen type and method. Numeric information on this page is stored as sourced example intervals or clinical thresholds.

Reference ranges may vary by laboratory, method used, age, sex, pregnancy status, and clinical context. The reference range on your own laboratory report takes precedence.

Interpretation notes

CK-MB is not completely heart-specific and can be influenced by skeletal muscle. Current assessment of acute myocardial injury relies mainly on high-sensitivity troponin.

Related specialties

  • Cardiology
  • Emergency Medicine
  • Internal Medicine

Frequently asked questions

More information about this test

Sources

  1. Troponin Test — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2023 · Troponin testing and cardiac muscle injury interpretation · Verified: Aug 12, 2026

  2. Creatine Kinase — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2023 · CK testing, muscle injury and CK isoenzyme context · Verified: Aug 12, 2026