TNF and inflammatory bowel disease: • Total Subjects: 73,451• Population: Patients aged ≥ 30 years old hospitalized for the first-time MI between 2002–2011 alive 30 days post-discharge• ACS patients: 100%. • ACS mortality: 270 all-cause death• IBD: 863 (1,17%); UC: 655 (75.9%); CD: 208 (24.1%)• Mean age (years): IBD: 68.5 (13.5SD); No-IBD: 68.4 (13.7)• Gender (males): 498 (57.7%)• IBD severity: -• Treatment: Corticosteroid, anti-TNF• Follow up: Mean follow-up for patients with IBD alive 30 days after their first-time MI is: 3.9 years