LAB TEST

CPK isoenzymes test

The creatine phosphokinase (CPK) isoenzymes test measures the different forms of CPK in the blood. CPK is an enzyme found mainly in the heart, brain, and skeletal muscle.

How the Test is Performed

A blood sample is needed. This may be taken from a vein. The test is called a venipuncture . If you are in the hospital, this test may be repeated over 2 or 3 days. A significant rise or fall in the total CPK or CPK isoenzymes can help your health care provider diagnose certain conditions.

How to Prepare for the Test

No special preparation is needed in most cases. Tell your provider about all the medicines you are taking. Some drugs can interfere with test results. Drugs that can increase CPK measurements include the following: Alcohol Amphotericin B Certain anesthetics Cocaine Fibrate drugs Statins Steroids, such as dexamethasone…

How the Test will Feel

You may feel slight pain when the needle is inserted to draw blood. Some people feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the Test is Performed

This test is done if a CPK test shows that your total CPK level is elevated. CPK isoenzyme testing can help find the exact source of the damaged tissue. CPK is made of three slightly different substances: CPK-1 (also called CPK-BB) is found mostly in the brain and lungs CPK-2 (also called CPK-MB) is found mostly in…

What Abnormal Results Mean

Higher-than-normal CPK-1 levels: Because CPK-1 is found mostly in the brain and lungs, injury to either of these areas can increase CPK-1 levels. Increased CPK-1 levels may be due to: Brain cancer Brain injury (due to any type of injury including, stroke, or bleeding in the brain) Electroconvulsive therapy Pulmonary…

Considerations

Factors that can affect test results include cardiac catheterization , intramuscular injections, recent surgery, and vigorous and prolonged exercise or immobilization. Isoenzyme testing for specific conditions is about 90% accurate.

References

Habib G. Cardiology. In: Harward MP, ed. Medical Secrets . 6th ed. Philadelphia, PA: Elsevier; 2019:chap 4. Marshall WJ, Lapsley M, Day A, Shipman K. Plasma proteins and enzymes. In: Marshall WJ, Lapsley M, Day A, Shipman K, eds. Clinical Chemistry . 9th ed. St Louis, MO: Elsevier; 2021:chap 16. Panteghini M. Serum…

This is a summary. Read the full article at www.ucsfbenioffchildrens.org (reviewed 01/01/2023).

This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.