【Abstract】Objective To retrospective explore ventricular remodeling (VR) and heart function by a ultrasonic cardiogram (UCG ) testing, and the correlation between VR and major adverse cardiac events (MACEs) to patients with old myocardial infarction (OMI) and abnormal wall motion in first 5 years.Methods We made an observational retrospective fellow-up study involving a group of 66 patients hospitalized more than 2 times from January 2013 to December 2016. The general clinical data and characteristics of UCG collected to evaluate the heart function, VR and MACEs, as well as association between VR and MACEs. We divided the first 5 years history of OMI into 3 consecutive time segments, named A (≤1year), B (>1year, ≤3years） and C（>3years, ≤5years）, respectively. Results The left atrial dimension (LAd), left ventricular enddiastolic dimension(LVDd), left ventricular ejection fraction(LVEF), and the combined incidence of MACEs of patients were all significantly different among A, B and C segments (P＜0.05). LAd, LVDd and MACEs were gradually increased, while LVEF was decreased from A to C segments. The LVDd and MACEs had a positive correlation in A, B and C segments (r=0.233, P=0.032; r=0.351, P=0.022; r=0.421, P=0.016 respectively). Conclusions The left ventricular remodeling had occurred at different extents, and correlated with prognosis in most patients with OMI and abnormal wall motion in first 5 years, with left ventricular function be decreased, and MACEs risk be increased.