Cytology · MU Sofia

Slide 27. Cardiac striated muscle tissue heart, H&E

Covers how to identify cardiac muscle on an H&E slide of the heart, starting with its staining colours and then the features to look for: branching fibres, one or two central nuclei with pale zones at each end, dark step-like intercalated discs, and fainter cross-striations among many capillaries. It ends with a short comparison against skeletal muscle, which has unbranched fibres, peripheral nuclei and no intercalated discs.

Inside: 1 section · 1 min

Topic 116 of 127 in the MU Sofia syllabus for Cytology (Dental Medicine, Year 1). The free AceMed note covers it in 1 section, about 95 words (1 min of reading).

In this note

  1. Introduction

Introduction

Cardiac muscle is made of branching cells joined end to end.

Stain

H&E: cytoplasm pink, nuclei blue-purple.

How to recognise it

  • Branching fibres that join into a network.
  • One, or sometimes two, central nuclei per cell, with a pale zone at both ends of the nucleus.
  • Intercalated discs: dark, often step-like lines across the fibres where the cells meet.
  • Cross-striations, fainter than in skeletal muscle, and many capillaries in the connective tissue.

Don't confuse it with: skeletal muscle, which has unbranched fibres with many peripheral nuclei and no intercalated discs.

Theory: topic 60 (cardiac muscle).

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