Myocardial Infarction · Pathology

Contraction band necrosis is most likely to be seen in which clinical scenario?

  1. Complete, permanent occlusion of a coronary artery
  2. Reperfusion of an area of ischemic myocardium
  3. Chronic, low-grade stable angina
  4. Aged fibrous scars
Show answer and explanation

Correct answer: Reperfusion of an area of ischemic myocardium

Contraction bands are intensely eosinophilic transverse bands of hypercontracted sarcomeres. They occur when calcium-rich blood is restored to dead or dying cells (reperfusion), causing them to contract one last time and lock in place.

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