Laboratory assay overview
Diagnose myocardial infarction (MI). Three fractions normally may be found, each an isoenzyme: • MM is found in normal serum. • MB is the myocardial fraction associated with MI and occurs in certain other states. MB can be used in estimation of infarct size. MB increases have been reported with entities that cause damage to the myocardium, such as myocarditis, some instances of cardiomyopathy, and with extensive rhabdomyolysis, Duchenne muscular dystrophy, malignant hyperthermia, polymyositis, dermatomyositis, mixed connective tissue disease, myoglobinemia, Rocky Mountain spotted fever, Reye syndrome, and rarely in rheumatoid arthritis with high titer RF.2 CK-MB does not generally abruptly rise and fall in such nonacute MI settings, as it does in acute myocardial infarct (AMI). • BB is rarely present. BB has been described as a marker for adenocarcinoma of the prostate, breast, ovary, colon, adenocarcinomas of gastrointestinal tract, and for small cell anaplastic carcinoma of lung. BB has been reported with severe shock and/or hypothermia, infarction of bowel,3 brain injury, stroke, as a genetic marker in some families with malignant pyrexia, and with MB in alcoholic myopathy.
View complete laboratory reference notes
See tables.
Total CK (U/L)
Age | Male | Female
0 to 7 d | 59-1111 | 55-777
8 to 30 d | 51−168 | 37−151
1 m to 1 y | 57−301 | 50−263
2 to 12 y | 53−229 | 45−198
13 to 17 y | 53−446 | 32−182
18 to 50 y | 49−439 | 32−182
51 to 80 y | 41–331 | 32–182
>80 y | 30–208 | 26–161
CK Isoenzymes (Male/Female)
Macro type 2 | Not observed
CK-MM | 97% to 100%
Macro type 1 | Not observed
CK-MB | 0% to 3%
CK-BB | 0%