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Risk factors for adverse outcomes after ST-elevation myocardial infarction

Joseph S Alpert, MD
Pamela S Douglas, MD
Peter WF Wilson, MD
Michael Simons, MD
Jeffrey A Breall, MD, PhD
Section Editors
Bernard J Gersh, MB, ChB, DPhil, FRCP, MACC
Patricia A Pellikka, MD, FACC, FAHA, FASE
Juan Carlos Kaski, DSc, MD, DM (Hons), FRCP, FESC, FACC, FAHA
Christopher P Cannon, MD
Allan S Jaffe, MD
Deputy Editor
Gordon M Saperia, MD, FACC


Patients with ST-elevation myocardial infarction (STEMI) should undergo risk stratification soon after presentation. This process has two components:

Early in-hospital identification of patients at increased risk for recurrent ischemic events.

Identification of patients after a myocardial infarction (MI) who are at increased risk for arrhythmic or nonarrhythmic death.

The individual risk factors that influence prognosis will be discussed here. The use of these risk factors in risk prediction models and the prognosis of patients after MI are discussed separately. (See "Risk stratification after acute ST-elevation myocardial infarction", section on 'Early risk stratification' and "Prognosis after myocardial infarction".)

Although there is significant overlap in the risk factors for acute non-ST elevation coronary syndrome (NSTEACS) and ST-elevation myocardial infarction (STEMI), they are presented separately, in part because the risk prediction models for STEMI and NSTEACS differ in their components. (See "Risk factors for adverse outcomes after non-ST elevation acute coronary syndromes".)

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Literature review current through: Oct 2017. | This topic last updated: Mar 08, 2017.
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