ABSTRACT
The mortality of the patients with acute myocardial infarction (AMI) is greatly decreased by prompt revascularization. However, a substantial proportion of patients with AMI suffer from dysfunction of myocardial reperfusion, which affects long-term prognosis. Severe microvascular injury can cause intramyocardial hemorrhage (IMH), manifested as capillary endothelial cell connection damage and extravasation of erythrocytes. IMH further aggravates myocardial damage, enlarging myocardial infarct size, and provides incremental information to left ventricular remodeling and long-term major cardiovascular events. Cardiovascular magnetic resonance (CMR) can achieve in vivo evaluation of IMH, using the paramagnetic effects of iron containing metabolites produced by erythrocyte lysis. This review aims to introduce the advances in IMH by cardiovascular magnetic resonance.