A CK-MB test may be used as a follow-up test to an elevated CK in order to determine whether the increase is due to heart damage or skeletal muscle damage. The test is most likely to be ordered if a person has chest pain or if a person's diagnosis is unclear, such as if a person has nonspecific symptoms like shortness of breath, extreme fatigue, dizziness, or nausea.
CK and CK-MB were once the primary tests ordered to detect and monitor heart attacks, but they have now been largely replaced by the troponin test, which is more specific for damage to the heart. If a troponin test is not available, then the CK-MB test is still considered an acceptable substitute.
CK-MB is usually ordered along with or following an elevated total CK when a person has chest pain and a doctor wants to determine whether the pain is due to a heart attack. It is typically ordered for this purpose when the more specific troponin test is not available. A CK-MB may also be ordered when a person has a high CK to determine whether the muscle damage detected is to the heart or other muscles.
Increased CK-MB can usually be detected in someone with a heart attack about 3-6 hours after the onset of chest pain. The level of CK-MB peaks in 12-24 hours and then returns to normal within about 48-72 hours. If there is a second heart attack or ongoing damage, then levels may rise again and/or stay elevated longer.
CK-MB is normally undetectable or very low in the blood.
If CK-MB is elevated and the ratio of CK-MB to total CK (relative index) is more than 2.5–3, it is likely that the heart was damaged. A high CK with a relative index below this value suggests that skeletal muscles were damaged. (For more, see Common Questions #3.)
Any kind of heart muscle damage can cause an increase in CK and CK-MB, including physical damage from trauma, surgery, inflammation, and decreased oxygen (ischemia). Strenuous exercise may also increase both CK and CK-MB, but usually with a lower relative index.
Kidney failure can cause a high CK-MB level.
Rarely, chronic muscle disease, low thyroid hormone (T3, T4) levels, and alcohol abuse can increase CK-MB.
Since CK-MB is also present in small quantities in skeletal muscle, significant damage to skeletal muscles can also increase the CK-MB level. If both skeletal and heart muscles are damaged, the presence of CK-MB due to a heart attack could be masked.
This article was last reviewed on February 26, 2013. | This article was last modified on February 24, 2015.
The review date indicates when the article was last reviewed from beginning to end to ensure that it reflects the most current science. A review may not require any modifications to the article, so the two dates may not always agree.
The modified date indicates that one or more changes were made to the article. Such changes may or may not result from a full review of the article, so the two dates may not always agree.