Myocardial Infarct - Introduction (III) - Sequential Histopathologic Changes
Time after event | Histopathologic findings |
---|---|
4-6 hours | Margination of polymorphonuclear leukocytes |
8-12 hours | Diapedesis of polymorphonuclear leukocytes into the myocardial interstitial space |
1 day | Hypereosinophilic fibers, nuclear pyknosis, coagulation necrosis, colliquative myocytolysis, edema, interstitial hemorrhage, contraction band necrosis, increase in neutrophilic infiltration |
2-3 days | Marked polymorphonuclear infiltrate with extensive karyorrhexis, loss of myocyte nuclei |
4 days to 1 week | Macrophage infiltration, early granulation tissue with fibroblast response and capillary proliferation at the edges |
7-14 days | Granulation tissue with hemosiderin-laden macrophages; variable amount of lymphocytes, rare plasma cells and eosinophils; polymorphonuclear leukocytes have disappeared |
2-8 weeks | Granulation tissue matures with increased collagen deposition, which becomes prominent and more dense |
2 Months | Healed scar |