Test Code CK CK (CPK)
Additional Codes
| Epic ID | LAB62 |
Specimen Requirements
Preferred Collection Container: green top lithium heparin tube, SST
Also Acceptable Collection Container: serum red top tube or EDTA purple top tube @ Allen
Collection Information:
Recommended collection for first sample of CK is 4-6 hours following suspected myocardial infarction.
Collect 1 mL of Lithium heparinized plasma or serum.
Serum or plasma must be separated from cells within 2 hours of collection.


Stability/Transport
| Temperature | Stability | Preferred Transport |
| Room Temp | 8 hours | X |
| Refrigerated | 7 days |
Performing Lab
Allen Hospital Laboratory
Marshalltown Laboratory
Useful For
Creatine Kinase (CK) is an enzyme that is associated with ATP regeneration in contractile or transport systems. Its predominant physiologic function occurs in muscle cells, where it is involved in the storage of high-energy creatine phosphate. CK is widely distributed in tissues, with highest activities found in skeletal muscle, heart muscle, and the brain. Little is found in liver or RBC. CK is considered the most sensitive indicator in acute myocardial infarction (AMI) and muscular dystrophy, particularly Duchenne muscular dystrophy. Increased CK levels may be seen in: a. Myocardial infarction (rises within 4-6 hours and declines to normal within 24-36 hours), b. Skeletal muscle disorders (Muscular dystrophy and Polymyositis), c. Hypothyroidism, d. Physical activity, e. Myocardial injury (Ischemia, Angina, Cardiac), surgery) f. Reye's syndrome, g. Carbon monoxide poisoning, h. CNS shock, i. Seizures, j. Acute and chronic renal failure.
Day(s) Performed
Daily
Report Available
1 hour
Reference Ranges
Female: 26-192 U/L
Male: 39-308 U/L
CPT Code Information
82550