The aim – to investigate associations between single nucleotide polymorphism (SNP) Val66Met of the brain-derived neurotropic factor (BDNF) gene and conventional predictive biomarkers and combined 6-month clinical end points in post-ST segment elevation myocardial infarction (STEMI) patients. Materials and methods. Two hundred and fifty six acute STEMI patients after successful percutaneous coronary intervention with TIMI III blood flow restoring. Single nuclear polymorphism Val66Met of BDNF gene was determined by real-time polymerase chain reaction. Observation behind the patients has been performed during 6-month period. Results and discussion. The combined clinical end point (MACEs and hospitalization) after 6 month was determined in 61 (23.8 %) post-STEMI patients; 195 (7.2 %) patients did not meet the events. The frequency of Val66Met polymorphous genotypes of BDNF gene in STEMI patients was the following: Val66Val – 74.2 % (n=190), Val66Met + Met66Met – 25.8 % (n=66). Unadjusted multivariate linear regressions has shown that peak TnI levels, NT-proBNP, SYNTAX score, TIMI score, and Val66Met+Met66Met genotype of BDNF gene, remained independent predictors for combined clinical end point. After adjustment for SYNTAX score and TIMI score, genotype Val66Met+Met66Met of BDNF gene (OR 1.5476, 95 % CI 1.1277–4.1426, р=0.0246) and NT-proBNP (OR 1.7546, 95 % CI 1.0219–3.1002, р=0.046) were independent predictors for combined clinical end point. Kaplan – Meier curves demonstrated that post-STEMI patients having Val66Val genotype of BDNF gene had the lowest accumulation of combined end point when compared with those who had the combination of Va66lMet and Met66Met genotypes (Cox-criterion, p=0.019; log-rang criterion, p=0.03). Сonclusions. The Val66Met polymorphism of BDNF gene was found as an independent predictor for combined 6-month clinical end points amid post-STEMI patients treated with percutaneous coronary intervention.