Background: Myocardial Infarction is the irreversible necrosis of the heart muscle secondary to prolonged ischemia. The incidence of coronary heart disease has markedly increased in India over the past few years. Objective was to study the histopathological spectrum of myocardial infarction in autopsy specimens that play a major role as cause of death. Aims: To study histomorphological changes in myocardial infarction, to determine its age-sex distribution, etiology & complications. Materials and Methods: This work is a retrospective study of ovarian germ cell tumors carried out in department of pathology at tertiary healthcare center. All cases of germ cell tumors during the period from August 2017 to July 2018 were retrieved from the record files and analyzed. The tissues were routinely fixed with 10% formal in, and the slides were stained with hematoxylin and eosin stain and also with special stains whenever required. Results: Commonest age group was 40–49 years with significant number of cases below 30 years of age. Males are more commonly affected than females. Coronary atherosclerosis was most common etiology. Left anterior descending artery causing anterior wall MI was most common morphological finding. Ventricular aneurysm is the most common complication. Conclusion: Myocardial infarction due to atherosclerosis is the commonest finding in death cases subjected to medico legal autopsies.

Keywords: Myocardial Infarction; Coronary Atherosclerosis; Autopsy.