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Introduction Cardiac MRI (CMR) provides unique characterisation of myocardial injury post acute STEMI. It is the gold standard for noninvasive measurement of Infarct Size (IS) and tissue perfusion during STEMI. Microvascular obstruction (MVO) describes suboptimal tissue perfusion despite restoration of flow in the infarct-related artery (IRA). IS and MVO are independent predictors of adverse remodelling and prognosis post STEMI. MVO is generally assumed to be related primarily to reperfusion.doi:10.1136/heartjnl-2013-304019.39 fatcat:i7nqslfuj5hztp46c6grotxlbe