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Creatinine Phosphokinase (CPK) Isoenzyme MB (MB-CPK) – Serum

Published: August 9, 2026Updated: August 16, 2026

This test measures the MB isoenzyme of Creatine Phosphokinase, an enzyme released when heart muscle is damaged.

Quick summary

["Assesses heart injury risk with a focus on specific heart muscle damage markers."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
85828-2
Short code
OXA58PCR
Synonyms
blaOXA-58-like Islt/Spm Ql
Category
chemistry
Sample
serum
Container
Sterile transport container or appropriate culture transport medium; for serum, use serum separator tube (SST) or sterile red-top tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
87150 (Culture, typing); 87798 (Amplified probe technique, organism detection); 87153 (Antimicrobial susceptibility testing, molecular)
SNOMED
122450008 | Microbial culture AND identification (procedure)|; 397428000 | Detection of bacterial resistance gene (procedure)|
Specimen volume
2-5 mL of serum or appropriate clinical isolate material
Stability
Serum: Refrigerated (2-8°C) for up to 7 days; Frozen (-20°C or below) for up to 30 days. Clinical isolates should be processed within 24 hours of collection when possible.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What Is CPK-MB?

CPK-MB is one of three isoenzymes of the enzyme Creatine Phosphokinase (CPK), which helps convert energy in cells. The MB isoenzyme is primarily found in heart muscle cells. When heart tissue is injured, CPK-MB leaks into the bloodstream, making it useful for detecting heart damage.

Why Is This Test Done?

Your doctor may order CPK-MB testing to evaluate symptoms like chest pain, shortness of breath, or irregular heartbeat. It can also help diagnose conditions such as a heart attack, heart surgery complications, or other cardiac issues.

How Is the Test Performed?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab for analysis to measure the levels of CPK-MB in your serum.

What Do Results Mean?

Elevated levels of CPK-MB may indicate recent or ongoing heart muscle damage. However, results alone cannot confirm a diagnosis without clinical correlation. Your doctor will review your symptoms, medical history, and other test results for interpretation.

Reference range

Negative (blaOXA-58-like gene not detected)N/A

Specimen: serum

No special patient preparation required. Specimen should be collected prior to initiation of antibiotic therapy when possible to maximize yield.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CPK-MB (Serum)

Frequently asked questions

How long does it take for CPK-MB levels to return to normal after a heart event?
CPK-MB levels typically peak within 24 hours of a heart attack and return to near-normal levels within 2–3 days. However, the timing can vary based on the severity of injury and individual health. Follow-up testing may be needed to monitor recovery.
Can CPK-MB levels be elevated for reasons other than heart damage?
Yes, elevated CPK-MB can occur due to muscle injuries (e.g., from exercise, trauma, or muscle disorders) or other conditions like kidney disease. Your doctor will consider all factors to determine the cause.
What should I do if my CPK-MB test results are abnormal?
If your results are elevated, your doctor will discuss next steps, which may include additional testing, lifestyle adjustments, or monitoring. Never interpret results independently—always consult your healthcare provider.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy