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Heart Tests (Cardiac Markers)

CPK / Creatine Kinase (CK)

CPK (creatine phosphokinase), also called CK, is an enzyme found in muscles, the heart and the brain. It rises when muscle is damaged.

Normal range (adults)
Men 39–308 U/L · Women 26–192 U/L
Sample
Blood
Fasting
Not usually needed
Also called
CK, Creatine Kinase, CPK, CK Total, Creatine Phosphokinase, Total CK

CPK / Creatine Kinase normal range

Group U/LSame unit in all countries
Men39–308
Women26–192

Ranges vary slightly between laboratories. The range printed on your own report is the one to go by.

Why is the CPK / Creatine Kinase test done?

It is checked for muscle pain or weakness, muscle injury, and in people taking statins who develop muscle aches.

What does a high CPK / Creatine Kinase level mean?

A high CK means muscle breakdown. Mild rises after exercise are common; very high levels (rhabdomyolysis) can damage the kidneys.

Common causes

  • Strenuous exercise or gym training in the days before the test
  • Muscle injury, falls or injections
  • Statin side effects
  • Underactive thyroid
  • Muscle diseases (myositis, muscular dystrophy)
  • Heat stroke or prolonged immobility

Diet and lifestyle tips

  • Avoid heavy exercise for 48 to 72 hours before a repeat test
  • Drink plenty of water
  • Tell your doctor if you take statins and have muscle pain

What does a low CPK / Creatine Kinase level mean?

A low CK usually reflects low muscle mass and is not a concern.

Common causes

  • Low muscle mass
  • Older age

Diet and lifestyle tips

  • Stay active and eat enough protein

When should you see a doctor?

Seek urgent care for severe muscle pain with dark or cola-coloured urine.

Last updated

This page is for general education and is not a diagnosis. Normal ranges differ between laboratories, so always compare your result with the reference range printed on your own report, and discuss abnormal results with your doctor.