Creatine Kinase (CK), Plasma / Fluid

 

Specimen requirement

Adult patient:

 

  Heparin gel tube

 

Minimum blood volume: 5 mL

Paediatric patient:

 

Paediatric heparin tube

 

Number of vials: 1

 

Minimum blood volume: 1.3 mL

Authorisation code required

No

24 Hr available service

Yes

 

(Call extension: 3353 for express result)

Method

Spectrophotometry

Reference interval

 

Male:  39 – 308 U/L
Female: 26 – 192 U/L

 

(Source: from manufacturer reagent insert 2015-05 V6.0)

Clinical indication

Levels of CK are increased in diseases affecting skeletal muscle.

 

It is a sensitive, but not specific test for the diagnosis and monitoring of myocardial infarction. CKMB with CKMB / CK ratio is more specific, but has been superseded by cardiac troponin T or I.

Result interpretation

CK levels may be increased in myocardial infarction, skeletal muscle injury (e.g. after intramuscular injection or excessive exercise), myositis, myopathy, rhabdomyolysis or hypothyroidism.

Cyanokit (Hydroxocobalamin) at therapeutic concentrations interferes with the result.

Measurement of uncertainty

See table.

Frequency of measurement

Daily