Time

Gross Features

Light Microscopic Findings

Electron

Microscopic Findings

Reversible Injury

central yellow-tan softening necrosis

0 - ½ hr

None

None

Relaxation of myofibrils; glycogen loss; mitochondrial swelling

½ - 4 hr

None

Usually none; variable waviness of fibers at border

Sarcolemmal disruption; mitochondrial amorphous

densities

4 - 12 hr

Occasionally dark mottling

Beginning coagulation necrosis; edema; hemorrhage

12 - 24 hr

Dark mottling

Ongoing coagulation

1 - 3 days

Mottling with yellowtan infarct center

central yellow-tan softening necrosis; pyknosis of nuclei; myocytehypereosinophilia; marginal contraction band necrosis; beginning neutrophilic infiltrate Coagulation necrosis, with loss of nuclei and striations; interstitial

3 - 7 days

Hyperemic border

infiltrate of neutrophils Beginning disintegration of dead myofibers, with dying neutrophils; early phagocytosis of dead cells by macrophages at infarct border