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October 1, 2025Cardiology PlusOpen Access

Incident heart failure and related outcomes in survivors of acute myocardial infarction within the first year in Sweden across 25 years, between 1997 and 2022

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Why the study?

Existing data regarding the incidence and timing of post-myocardial infarction heart failure showed inconsistencies, despite modern PCI and guideline-directed medical therapy.

Population

384,145 patients with a first AMI in Sweden

Comparison

HF onset at 0–3 months vs 4–12 months vs no post-MI HF

Design

Nationwide retrospective observational register-based cohort study

Follow-up

Within 2 years post-MI

Key result

Incident heart failure within 0-3 months post-myocardial infarction was associated with a significantly higher risk of 2-year mortality compared to no heart failure (HR 2.05; 95% CI 2.02-2.08; P<0.0001).

Authors

MFMichael FuASAndrea Dahl SturedahlAPAldina Pivodic

Discussion

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Member takes

Overview

Provides contemporary post-MI HF incidence and timing data; leaves open targeted prevention strategies for prospective trials.

Study Design

Type

Cohort (n=384,145)

Multicenter

Yes

Structured PICO

P
Population
384,145 patients with a first acute myocardial infarction in Sweden between 1997 and 2022, followed for up to 2 years to assess incident heart failure and mortality.
O
Outcome
Incidence of heart failure (HF) at 0–3 and 4–12 months post-MI, and all-cause mortality within 2 years post-MIhard clinical

Main Result

Hazard Ratio: 2.05 (95% CI 2.02–2.08)

p-value: p=< 0.0001

Heart failure remains a prevalent and highly prognostic complication within the first year after a first myocardial infarction, significantly increasing the risk of mortality within 2 years.

Cite This Study

Fu et al. (2025) conducted a cohort in Acute myocardial infarction (n=384,145). Incident heart failure post-MI vs. No incident heart failure post-MI was evaluated on All-cause mortality within 2 years post-MI (HR 2.05, 95% CI 2.02-2.08, p=< 0.0001). Incident heart failure within 0-3 months post-myocardial infarction was associated with a significantly higher risk of 2-year mortality compared to no heart failure (HR 2.05; 95% CI 2.02-2.08; P<0.0001).

synapsesocial.com/papers/6a611722e5c1fbf4de7c586fhttps://doi.org/10.1097/cp9.0000000000000140
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Declining In-Hospital Mortality and Increasing Heart Failure Incidence in Elderly Patients With First Myocardial Infarction2008 · 369 citations
  2. 2Trends From 1996 to 2007 in Incidence and Mortality Outcomes of Heart Failure After Acute Myocardial Infarction: A Population‐Based Study of 20 812 Patients With First Acute Myocardial Infarction in Western Australia2013 · 125 citations
  3. 3Incidence, Risk Factors, and Outcomes of Heart Failure After Acute Myocardial Infarction: A Nationwide Study in Korea2026
  4. 4Prognostic Impact of In‐Hospital and Postdischarge Heart Failure in Patients With Acute Myocardial Infarction: A Nationwide Analysis Using Data From the Cardiovascular Disease in Norway (CVDNOR) Project2017 · 37 citations
  5. 5The timing of development and subsequent clinical course of heart failure after a myocardial infarction2008 · 134 citations