Review ArticleImmunohistochemistry in the Detection of Early Myocardial Infarction Systematic Review and Analysis of Limitations Because of Autolysis and PutrefactionBarranco, Rosario MD; Ventura, Francesco MD, PhDAuthor Information Department of Legal and Forensic Medicine, University of Genova, Via De Toni 12, Genova, 16132, Italy The authors declare no conflict of interest. Reprints: Francesco Ventura, MD, PhD, Department of Legal Medicine, University of Genova, via De’ Toni 12, 16132 Genova, Italy (e-mail: firstname.lastname@example.org). Received May 12, 2018 Accepted June 1, 2018 Applied Immunohistochemistry & Molecular Morphology: February 2020 - Volume 28 - Issue 2 - p 95-102 doi: 10.1097/PAI.0000000000000688 Buy Metrics Abstract The postmortem diagnosis of acute myocardial infarction is one of the main problems in forensic practice, especially in cases in which death occurs soon after (from minutes to a few hours) the onset of the ischemic damage. Several authors have highlighted the possibility to overcome the limits of conventional histology in this diagnosis by utilizing immunohistochemistry. In the present research, we examined over 30 scientific studies and picked out over 20 main immunohistochemical antigens analyzed with a view to enabling the rapid diagnosis of early myocardial infarction. The aim of our review was to examine and summarize all the principal markers studied to date and also to consider their limitations, including protein alteration because of cadaveric autolysis and putrefaction. Copyright 2020 Wolters Kluwer Health, Inc. All rights reserved.