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Seeing what ultrasound and ECG conceal.
Cardiac CT · Munich

Cardiac CT

The coronary arteries visible directly – with dual-source technology.

ECG and ultrasound assess the function of the heart – not the state of the coronary arteries. Cardiac CT images the vessels directly and shows deposits long before they become noticeable. On our dual-source CT this succeeds in a single breath, at very low radiation dose and without a catheter.

Important: Sudden, severe chest pain – especially with shortness of breath, cold sweat or pain radiating into the arm, neck or upper abdomen – can be a heart attack. Please call the emergency services on 112 immediately.

Our promise
When cardiac CT makes sense

Two good reasons to look closer

With suspected coronary artery disease

For chest pain or unclear symptoms, cardiac CT is a first-line examination according to the European guideline. Where there is a medical suspicion of coronary artery disease, it has been a statutory-insurance benefit since 2024. If you request the examination without such a suspicion, you pay for it yourself (self-pay or private service).

With an elevated CAD risk

With a familial predisposition, high blood pressure or elevated blood lipids – and likewise with unexplained shortness of breath or unexplained pressure or pain in the chest – an individual assessment can make sense. Talk to us about whether you might have coronary artery disease – we decide together, based on your personal risk profile.

The technology

Cardiac CT at the highest technical level

Imaging a moving heart precisely is a question of speed. Our dual-source CT works with two X-ray sources simultaneously – this halves the acquisition time and freezes the heart's motion. The result: sharp images at very low dose.

Two X-ray sources, double the speed

Dual-source technology captures the heart in fractions of a second and freezes its motion – the basis for razor-sharp vessel imaging.

Very low radiation dose

Thanks to the high speed and modern dose reduction, the scan succeeds with a fraction of the radiation of earlier device generations.

Even at higher heart rate

Where older devices require a calm, slow pulse, dual-source technology delivers usable images even at higher or irregular rates – with less preparation.

Without a catheter

Cardiac CT is non-invasive and outpatient – often the gentler alternative before a cardiac catheter is considered.

Dr. Dr. Georg-Friedemann Rust im Gespräch mit einer Patientin
Your doctor
A good image is not a matter of chance, but of technology you have mastered.
Dr. Dr. Georg-Friedemann Rust
Specialist in Radiology & Neuroradiology
How it works

Three steps to certainty

Book an appointment

Conveniently online or by phone – you receive an appointment promptly through our friendly reception.

The examination

The actual scan takes only seconds and succeeds in a single breath. A contrast agent via the arm vein makes the vessels visible.

Findings & discussion

You receive a detailed report and a personal discussion of the next steps.

Your doctor

Personally there for you

Anastasija Todorovska – Fachärztin für Kardiologie und Innere Medizin

Anastasija Todorovska

Specialist in Internal Medicine & Cardiology

Specialised in echocardiography, ECG diagnostics and cardiological assessment – in close cooperation with radiology.

Dr. Dr. Georg-Friedemann Rust – Facharzt für Radiologie und Neuroradiologie

Dr. Dr. Georg-Friedemann Rust

Specialist in Radiology & Neuroradiology

Physicist and radiologist – combining medical and technical expertise for precise imaging and personal care.

What our patients say

Trust that grows from experience

★★★★★  87 × 5-star reviews on Google

Google
★★★★★
“A doctor and physicist who combines the highest professional competence with a very pleasant manner – the patient is at the centre, and the findings are explained in an understandable way.”
Thomas S. · Google
Google
★★★★★
“Competent, attentive, thorough. He helps where other doctors fail.”
Jonas S. · Google
Google
★★★★★
“He conveyed the findings factually, calmly and clearly. A welcome angel after days of panic over an orthopaedist’s preliminary finding.”
Verifizierter Patient · Selbstzahler · Google
Google
★★★★★
“I have been coming here for years – always reliable, friendly and professional. The team takes its time.”
Firat S. · Google
Google
★★★★★
“No waiting time, short-notice appointments, very competent. The best radiology practice in Munich!”
Svetlana M. · Google

Gain clarity

Arrange your appointment – online in a few steps or by phone.

ECG and echocardiography (ultrasound) assess how the heart works – not the state of the coronary arteries. They can neither confirm nor exclude a narrowing of the coronary arteries by deposits (= CAD = coronary artery disease); a narrowing often becomes apparent through function only late.¹ Cardiac CT starts exactly here: it images the vessels directly and makes deposits visible early. How often such deposits are already present unnoticed was shown by the REACT study in 2026 – in around 57 % of symptom-free adults.⁸ The European guideline recommends CT coronary angiography as a first-line examination for suspected coronary artery disease,² and since 2024 it has been recognised as a statutory-insurance benefit in Germany.³ Studies show that a CT-guided work-up makes disease visible earlier and leads less often to intervention-related complications than the direct route via cardiac catheter.⁴ Decisive for the diagnostic value is the technology: our dual-source CT freezes the heart's motion and delivers sharp images at very low dose. Whether cardiac CT makes sense in your case is something we clarify together according to your individual risk profile.

References
  1. SCOT-HEART Investigators. Coronary CT Angiography and 5-Year Risk of Myocardial Infarction. N Engl J Med 2018;379(10):924–933.
  2. Vrints C, Andreotti F, Koskinas KC, et al. 2024 ESC Guidelines for the management of chronic coronary syndromes. Eur Heart J 2024;45(36):3415–3537.
  3. Gemeinsamer Bundesausschuss (G-BA). Richtlinie Methoden vertragsärztliche Versorgung: CT-Koronarangiographie bei Verdacht auf eine chronische KHK. Beschluss vom 18. Januar 2024; EBM-Leistung seit 1. Januar 2025.
  4. DISCHARGE Trial Group. CT or Invasive Coronary Angiography in Stable Chest Pain. N Engl J Med 2022;386(17):1591–1602.
  5. Bundesärztekammer (BÄK), KBV, AWMF. Nationale VersorgungsLeitlinie Chronische KHK, Version 6.0, 2023 – CT-Koronarangiographie als bevorzugtes bildgebendes Verfahren bei Verdacht auf eine chronische KHK. leitlinien.de
  6. REACT-Studie (u. a. CNIC, Madrid). Häufigkeit subklinischer Atherosklerose über die gesamte Lebensspanne Erwachsener. Vorgestellt beim ESC-Kongress 2026, München (29. August 2026); zeitgleich publiziert im New England Journal of Medicine. acc.org
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