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Serum Creatinine Phosphokinase Isoenzyme MB (CPK-MB)

Published: August 9, 2026Updated: August 11, 2026

This test measures a specific form of the enzyme creatine phosphokinase (CPK), which is found in heart muscle and some other tissues. It helps assess damage to heart tissue after a heart attack or other heart-related events.

Quick summary

["This test can help doctors check for heart muscle injury or monitor recovery after a heart event."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 11, 2026Editorial policy

Key facts at a glance

LOINC
53803-3
Short code
CDT
Synonyms
CDT Pnl SerPl
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, tiger-top, or red-top tube without anticoagulant); plasma may be collected in lithium heparin or EDTA tubes.
Units
N/A
Ref low
0
Ref high
1.7
Fasting
false
Population
adult
Sex
all
Age range
18–99 years
Method
Capillary Electrophoresis (CE), High-Performance Liquid Chromatography (HPLC), or Isoelectric Focusing (IEF)
CPT
82373
SNOMED
395147008
Specimen volume
1–2 mL of serum or plasma (minimum 0.5 mL).
Stability
Serum/plasma stable at room temperature (15–25°C) for up to 7 days; refrigerated (2–8°C) for up to 14 days; frozen (-20°C or lower) for up to 6 months. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
50
Icterus max
40
TAT
24–96 hours
Order
routine

What Does This Test Measure?

CPK-MB is one of several forms of creatine phosphokinase (also called CK or CPK), an enzyme that helps produce energy in cells. In the heart, CPK-MB is primarily found in heart muscle cells. When these cells are damaged—such as during a heart attack—the enzyme leaks into the bloodstream, making it detectable in a blood test.

Why Might Your Doctor Order This Test?

Your doctor may order this test to diagnose or monitor conditions like a heart attack, heart muscle inflammation, or other heart-related issues. It can also help determine how well your heart is healing after treatment.

When Is This Test Typically Done?

This test is often performed as part of a series of blood tests after symptoms like chest pain, shortness of breath, or other signs of heart trouble. It may also be done regularly if you have a history of heart disease or are at risk for heart problems.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for a few hours before the test, but this depends on your doctor’s instructions. Bring any medications you’re taking to your appointment.

Reference range

Reported as the percentage of carbohydrate-deficient transferrin (CDT) relative to total transferrin. Reference range typically: <1.7% (varies by methodology). Components typically include: Asialo-, Monosialo-, Disialo-, Trisialo-, Tetrasialo-, Pentasialo-, and Hexasialo-transferrin isoforms.N/A

Specimen: serum

No fasting required. Patients should abstain from alcohol for at least 1–2 weeks prior to testing to avoid false-positive elevations of CDT. Patient should be informed of testing purpose and provide consent when required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CPK-MB Serum

Frequently asked questions

A healthcare provider will draw blood from a vein in your arm. You may feel a small pinch, but it usually doesn’t cause discomfort. The blood sample is then sent to a lab for analysis.
This test is typically done to check for elevated levels of CPK-MB in your blood, which can indicate heart muscle damage. High levels may suggest recent or ongoing heart issues, such as a heart attack or stress on the heart.
How Long Does It Take to Get Results?
Results are usually available within a few hours to a couple of days, depending on your lab’s processing time. Your doctor will discuss the results with you during your follow-up visit.
What Are Common Causes of Abnormal Results?
Elevated CPK-MB levels can be caused by heart attacks, heart surgery, heart valve problems, or other conditions that damage heart muscle. Other factors, like intense exercise or muscle injuries, may also lead to slightly elevated levels, but these are usually temporary.
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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 11, 2026. · Read our editorial policy