DETECTION OF MYOCARDIAL-INFARCTION BY IMMUNOHISTOLOGICAL STAINING FORC9 ON FORMALIN-FIXED, PARAFFIN WAX EMBEDDED SECTIONS

Aims-To evaluate an immunohistological stain for complement component C9 as a method of detecting early myocardial infarction and to compare this with (1) an enzyme histochemical method and (2) conventional his tological staining. Methods-(1) Eight hearts taken at necropsy were st ained using the nitroblue tetrazolium/phenazine methosulphate method a nd an immunohistological stain for C9. (2) Twenty five hearts from cas es of suspected or confirmed myocardial infarction and 25 from cases w ithout conventional evidence of infarction were stained for C9 and by haematoxylin and eosin. Results-(1) The histochemical method indicated myocardial necrosis in five hearts and the C9 method in seven, all of which had clinical evidence of myocardial damage or a reason for it. The histochemical method required fresh myocardium, was difficult to u se and was difficult to interpret. (2) Of 25 hearts with suspected or confirmed infarction, 24 were stained by the C9 method. Staining with haematoxylin and eosin showed infarction in 16 of these, all with infa rcts at least 24 hours old; the other eight had clinical evidence of i nfarction less than 24 hours old. The heart not stained by C9 was from a patient who, on review, had no evidence of infarction. Of the 25 co ntrol hearts, none had infarction on staining with haematoxylin and eo sin, but three were stained by the C9 method. These three were from pa tients with septicaemia or another reason for myocardial damage. Concl usions-The immunohistological method for C9 is a simple, reliable and sensitive method for the detection of early myocardial necrosis that c ould be used on formalin fixed, paraffin wax embedded necropsy materia l. This had advantages over a histochemical method and conventional st aining with haematoxylin and eosin.