The findings of our study can be summarised as follows: (1) MVO and IMH are frequently observed in reperfused AMI using T2W and LGE CMR, (2) IMH and MVO are strongly related phenomena, (3) patients with MVO and IMH have pre-PCI TIMI 3 flow less often, and (4) infarct size, once adjusted for MVO and IMH presence, remained the sole independent predictor of LV remodelling.