As Adler et al suggest ST segment elevation can be a predictive factor for poor outcome in patients with myocardial infarction.8 Okin et al showed that high levels of C-reactive protein in patients with ST segment depression is also predictive of a worst outcome.25 Barabess et al believe ST segment depression alone might be a prognostic feature in AMI patients without ST elevation.9 After studying the relation between microalbuminuria and major ECG changes, Tazeen et al26 showed that microalbuminuria in Asian populations can be a predictor for cardiovascular disease. This evidence concerns the gene CRP and myocardial infarction.