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Creatinine Kinase (CK) – Serum/Plasma Level

Published: August 9, 2026Updated: August 17, 2026

This test measures the levels of Creatinine Kinase (CK), an enzyme found in heart, muscle, and brain tissues. It helps assess damage to these areas, often due to injury, illness, or exercise.

Quick summary

["CK levels can signal muscle or heart damage; high levels may indicate injury or strain."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
59149-5
Short code
CK Macro SerPl Ql
Synonyms
CK Macro SerPl Ql
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
22
Ref high
198
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82553
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is Creatinine Kinase (CK)?

Creatinine kinase (CK) is an enzyme that plays a role in energy production in cells. It’s naturally present in high amounts in the heart, skeletal muscles, and brain. When tissues are damaged—such as from a heart attack, muscle injury, or stroke—their CK levels can rise in the bloodstream. This test helps doctors identify and monitor conditions affecting these organs.

Why Might You Need This Test?

Your doctor may order a CK test if you have symptoms like chest pain, muscle weakness, confusion, or unexplained fatigue. It’s also used to monitor conditions like heart disease, muscle disorders, or to check for complications after surgery or trauma.

When Are CK Levels Abnormal?

High CK levels (above normal ranges) may signal muscle damage (myopathy), heart problems (such as a heart attack), or other conditions like stroke or severe illness. Low levels might indicate muscle wasting or certain metabolic disorders, though this is less common.

What Can Affect CK Levels?

Several factors can influence CK levels, including recent exercise, muscle injury, dehydration, or certain medications. Smoking, alcohol use, or underlying health conditions (like kidney disease) may also play a role.

Reference range

Adult males: 22-198 U/L; Females: 22-198 U/LN/A

Specimen: serum

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CK Serum/Plasma

Frequently asked questions

Could my CK levels be affected by what I eat or drink?
Diet and hydration can indirectly affect CK levels. For example, consuming large amounts of protein or alcohol may temporarily raise CK, while dehydration can sometimes lower it. However, diet alone isn’t a direct cause of elevated CK unless linked to muscle strain or injury. Always follow your doctor’s advice regarding diet and testing.
What should I do if my CK levels are high?
If your CK levels are elevated, your doctor may investigate the cause—such as muscle injury, heart issues, or other conditions. They might recommend rest, monitoring symptoms, or further tests (like an ECG or muscle biopsy) to determine the best next steps. Follow-up care depends on your specific situation.
Do I need to prepare for this test?
Yes, you may need to avoid strenuous exercise or heavy lifting for 24 hours before the test, as physical activity can temporarily raise CK levels. Also, inform your doctor about any medications, supplements, or recent injuries that could affect results.
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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 17, 2026. · Read our editorial policy