Over the past few decades, all-cause mortality and cardiovascular events have remained high in ST-segment elevation myocardial infarction (STEMI) patients. One of the reasons for this is that adverse LV remodeling of the heart that occurs in many patients after myocardial infarction. Cardiac magnetic resonance (CMR) imaging has become a beneficial imaging modality to assess myocardial morphology, LV function and infarct characteristics simultaneously. This study analyzed the value of LV volumes, LV function and infarct characteristics by CMR predicting adverse LV remodeling after STEMI. Our data showed that total enhanced volume was the most accurate prediction parameter.