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Test ID CK Creatine Kinase (CK), Serum

Useful For

The determination of creatine kinase is utilized in the diagnosis and monitoring of myocardial infarction and myopathies such as the progressive Duchenne muscular dystrophy.

Method Name

Photometric, Creatine Phosphate + ADP

Reporting Name

Creatine Kinase (CK), S

Specimen Type

Serum

Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Specimen Volume: 1 mL

Collection Instructions:

1. Serum gel tubes should be centrifuged within 2 hours of collection.

2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.

Additional Information: Patient's age and sex are required.

Specimen Minimum Volume

0.25 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 7 days
  Frozen  28 days

Clinical Information

Creatine Kinase (CK) activity is greatest in striated muscle, heart tissue, and brain. The determination of CK activity is a proven tool in the investigation of skeletal muscle disease (muscular dystrophy) and is also useful in the diagnosis of myocardial infarction (MI) and cerebrovascular accidents. Increased levels of CK also can be found in viral myositis, polymyositis, and hypothyroidism.

 

Following injury to the myocardium, such as occurs in acute MI, CK is released from the damaged myocardial cells. A rise in the CK activity can be found 4 to 8 hours after an infarction. CK activity reaches a maximum after 12 to 24 hours and then falls back to the normal range after 3 to 4 days.

Reference Values

Males

6-11 years: 150-499 U/L

12-17 years: 94-499 U/L

≥18 years: 52-336 U/L

Females

6-7 years: 134-391 U/L

8-14 years: 91-391 U/L

15-17 years: 53-269 U/L

≥18 years: 38-176 U/L

Reference values have not been established for patients that are less than 6 years of age.

Note: Strenuous exercise or intramuscular injections may cause transient elevation of CK.

Cautions

Exercise and muscle trauma (contact sports, traffic accidents, intramuscular injections, surgery, convulsions, wasp or bee stings, and burns) can elevate serum creatine kinase values.

Day(s) Performed

Monday through Sunday; Continuously

Report Available

Same day/1 day

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

82550

NY State Approved

Yes