Associations between type of MI and incident HF No MI Silent MI Clinical MI Participants (N) 8607 305 331 Events (N) 818 54 104 IR (1000 P-Y) 7.8 16.2 30.4 Model 1 (HR; 95% CI; P value) 1.00 (Reference) 1.85; 1.40-2.44; P<0.001 3.49; 2.83-4.30; P<0.001 Model 2 (HR; 95% CI; P value) 1.35; 1.02-1.78; P=0.035 2.85; 2.31-3.51; P<0.001 Model 1: adjusted for age, gender, and race Model 2: adjusted for age, gender, race, BMI, smoking status, HR, SBP, use of BP-lowering medications, and DM MI: myocardial infarction; HF: heart failure; BMI: body mass index; HR: heart rate; SBP; systolic blood pressure; DM: diabetes mellitus; CI: confidence interval; HR: hazard ratio; IR: incidence rate; P-Y: person-years Qureshi WT, et al. JACC 2018;71:1–8