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06 ± 2.63% vs. 40.20 ± 2.67%, p 0.001) and 1year (44.16 ± 2.40% vs. 40.13 ± 3.48%, p 0.001). IMR was negatively correlated with LVEF at 3months (r = - 0.1014, p = 0.004 and 1year (r = - 0.1754, p 0.0001). The IMR showed significant negative correlation with the LVEF value after primary PCI. The high IMR is a strong predictor of heart failure within 1year after anterior myocardial infarction. The IMR showed significant negative correlation with the LVEF value after primary PCI. The high IMR is a strong predictor of hear