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Taking symptoms seriously, making causes visible.
Cardiac MRI · Munich

Cardiac MRI

Heart muscle and perfusion – assessed without X-rays.

Some symptoms remain unexplained even though ECG, ultrasound and even cardiac CT or catheter are unremarkable. Cardiac MRI shows what these methods do not see: an inflammation of the heart muscle and perfusion disorders down to the smallest vessels – radiation-free and at rest.

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 MRI makes sense

Two good reasons to look closer

Suspected inflammation of the heart muscle

After a viral infection, with a drop in performance, palpitations or chest pressure, cardiac MRI can make a myocarditis visible or rule it out according to international criteria.¹

Symptoms despite an unremarkable finding

When cardiac CT or catheter are unremarkable but the symptoms persist, the cause often lies in the smallest vessels. Stress MRI makes such perfusion disorders visible.²

The examination

Two questions, one radiation-free examination

Cardiac MRI works with magnetic fields instead of X-rays. In one examination, both the heart muscle itself and its perfusion – at rest and under stress – can be assessed.

Making inflammation visible

Modern examination techniques capture water retention and tissue change in the heart muscle – the basis for confirming or ruling out a myocarditis.

Detecting scar and fibrosis

Through contrast enhancement, scarred or fibrotic areas become visible – for example after a previous infarction or a past inflammation.

Perfusion under stress

In stress MRI, the heart's perfusion is stressed pharmacologically and measured – without physical exertion. This makes narrowings and reduced perfusion visible.³

Even the smallest vessels

Stress MRI also captures microvascular perfusion disorders (INOCA) that cardiac catheter and cardiac CT do not show – often the decisive answer with persistent symptoms.²

Dr. Dr. Georg-Friedemann Rust im Gespräch mit einer Patientin
Your doctor
If you have symptoms, there is a reason. Our task is to find it.
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 scan is performed in a modern, open and short MRI – comfortable even with claustrophobia. For stress MRI and tissue imaging, a contrast agent is given via the arm vein.

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.

Not every heart complaint has to do with narrowed coronary arteries. At the same time, a narrowing of the coronary arteries by deposits (= CAD = coronary artery disease) often develops unnoticed over a long period: in 2026 a large imaging study already found vascular deposits in around 57 % of symptom-free adults.⁸ An inflammation of the heart muscle can occur after a simple viral infection and often goes unrecognised with ECG and ultrasound – cardiac MRI is considered the non-invasive gold standard for diagnosing inflammation of the heart muscle and confirms or rules it out according to internationally agreed criteria.¹ And a considerable proportion of people with persistent symptoms have unremarkable coronary arteries: the cause then often lies in the smallest vessels (INOCA), which catheter and cardiac CT do not show.² Especially in women, INOCA is an important issue that must always be considered – it is particularly easily missed in standard diagnostics. Stress perfusion MRI makes such perfusion disorders visible without radiation and is well established as a method for ischaemia diagnosis.³ So that no one is sent home with serious symptoms just because the standard examination was unremarkable. Whether cardiac MRI makes sense in your case is something we clarify together according to your individual situation.

References
  1. Ferreira VM, Schulz-Menger J, Holmvang G, et al. Cardiovascular Magnetic Resonance in Nonischemic Myocardial Inflammation: Expert Recommendations (Lake Louise Criteria 2018). J Am Coll Cardiol 2018;72(24):3158–3176.
  2. Kunadian V, Chieffo A, Camici PG, et al. EAPCI expert consensus on ischaemia with non-obstructive coronary arteries (INOCA). Eur Heart J 2020;41(37):3504–3520.
  3. Nagel E, Greenwood JP, McCann GP, et al. Magnetic Resonance Perfusion or Fractional Flow Reserve in Coronary Disease (MR-INFORM). N Engl J Med 2019;380(25):2418–2428.
  4. Kim RJ, Fieno DS, Parrish TB, et al. Relationship of MRI Delayed Contrast Enhancement to Irreversible Injury, Infarct Age, and Contractile Function. Circulation 1999;100(19):1992–2002.
  5. Grothues F, Smith GC, Moon JC, et al. Comparison of interstudy reproducibility of cardiovascular magnetic resonance with two-dimensional echocardiography in normal subjects and in patients with heart failure or left ventricular hypertrophy. Am J Cardiol 2002;90(1):29–34.
  6. Kramer CM, Barkhausen J, Bucciarelli-Ducci C, et al. Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update. J Cardiovasc Magn Reson 2020;22(1):17.
  7. 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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