Myocardial infarction occurred in 683 of 13 885 patients (4.9%; 2.4 MIs per 100 patient-years) with symptomatic peripheral artery disease during a median follow-up of 30 months. A total of 405 patients (59.3%) had type 1 MI; 236 (34.6%), type 2 MI; 12 (1.8%), type 3 MI; 14 (2.0%), type 4a MI; 11 (1.6%), type 4b MI; and 5 (0.7%), type 5 MI.