Skip to main content
. 2023 Jun 5;260(5):666–678. doi: 10.1002/path.6093

Table 1.

The seven stages of histopathological change after MI – Lodge‐Patch scale.

Stage Description
I Earliest changes where stretching and waviness of myocardial fibres are observed and these myocytes have eosinophilic cytoplasm and pyknosis
II Coagulation necrosis of cardiomyocytes with haemorrhage or neutrophil infiltration, but without CD68+ macrophages
III Coagulation necrosis of cardiomyocytes with infiltration of CD68+ macrophages in addition to neutrophils
IV Early stage of granulation in which fragmented myocytes with coagulation necrosis, many CD68+ macrophages, a few neutrophils, and fibroblasts are found
V Mature granulation tissue with CD68+ macrophages and fibroblasts, but without necrotic myocytes or neutrophils
VI The stage of fibrosis with abundant myofibroblasts positive for smooth muscle actin, in which the interstitium is weakly stained blue by Azan–Mallory throughout the lesion
VII The lesion is replaced with scar tissue with a decrease of myofibroblasts and uniformly stained blue by Azan–Mallory