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Among 63,885 index events, 3.4% were identified as recurrent MIs with 5 years of look-back, 7.9% with 10 years, 14% with 24 years, and 15% with up to 39 years. All-cause mortality risk was 36% (95% CI 36-37%) with 0 years of look-back, 35% (95% CI 35-36%) with 5 years, 35% (95% CI 35-36%) with 10 years, 34% (95% CI 34-35%) with 20 years, and 34% (95% CI 33-34%) with up to 39 years. Most recurrent MIs were identified with a look-back period of 24 years. Including recurrent MIs in a planned incident MI cohort, due to shorter look-back per