The uric acid role as a prognostic factor in patients with acute ST elevation of myocardial infarction is contentious. The aim of this research was to show the association between the amount of serum uric acid and mortality during the induction time. Patients older than 18 years of age have been identified as ST segment elevation acute myocardial infarction (STEMI) or non-ST segment elevation with reference to clinical records, reviews, ECG shifts, biochemical indicators, and Krishna Hospital, Karad. Patients of high Killip class showed higher serum uric acid levels than to patients with lower Killip class. Serum uric acid level when paired with Killip class is a strong indicator of heart failure incidence and short-term mortality after STEMI.