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. CK isoenzymes are subtypes of the creatine kinase analyte. The CK-MB (creatine kinase myocardial band) isoenzyme is a specific marker for heart muscle damage. The CK-MB levels will start to rise in the bloodstream approximately 4 hours after a myocardial infarction, and will peak approximately 18 hours after the event. Troponin levels will be elevated with heart muscle damage, but not with other types of muscle trauma. Troponin I levels are especially sensitive to myocardial damage.
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