Does marathon running increase the proportion of CK-MB in skeletal muscle, explaining elevated serum CK-MB after competition?
Elevated serum CK-MB in asymptomatic marathon runners likely originates from skeletal muscle rather than myocardium, as endurance training increases the CK-MB fraction in skeletal muscle.
Mean serum creatine kinase MB isoenzyme (CK-MB) activity in 108 trained marathon runners after competition was 98 ±66 (SD) units/L measured by a quantitative electrophoretic technique (normal, JAMA1983;250:2835-2837)
Arthur J. Siegel (Fri,) studied this question.