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Heart failure shows up early – if you look closely.
Heart failure · Munich

Heart failure

Detect heart failure early – before you run short of breath.

Declining physical capacity, shortness of breath, swollen legs – heart failure often develops gradually. Its most common cause is coronary artery disease (CAD – the gradual narrowing of the coronary arteries by calcification). Two things are therefore decisive: measuring the pumping function precisely and finding the cause. Echocardiography and cardiac MRI determine the ejection fraction precisely, cardiac MRI additionally reveals scarring and inflammation – without radiation –, and cardiac CT rules out CAD. All in one place, evaluated by experienced specialists.

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 a heart failure work-up makes sense

Two good reasons to take a closer look

With shortness of breath and a drop in performance

When climbing stairs becomes increasingly difficult, a nocturnal cough or shortness of breath sets in, or the legs swell, we clarify whether heart failure is behind it.

For the precise determination of pumping performance

The ejection fraction – the proportion of blood the heart pumps out with each beat, and thus the most important measure of its pumping power – determines diagnosis and therapy. Echocardiography and, as the reference standard, cardiac MRI measure it reliably and show whether the heart pumps strongly or with reduced function.

The examinations

Pumping performance and cause in one

Reliably assessing heart failure means precisely measuring the pumping performance – and finding the cause. The most common cause is coronary artery disease, which is often recognised too late; it should therefore be ruled out early and specifically, for example with cardiac CT. We bring both together under one roof, entirely without or with very low radiation.

Echocardiography

Cardiac ultrasound assesses pump function, valves and filling – the basic examination in heart failure diagnostics, entirely without radiation.

Cardiac MRI: the ejection fraction

Cardiac MRI is considered the reference for the exact measurement of the ejection fraction and cardiac volumes – reproducible and independent of ultrasound image quality.

Cardiac MRI: the cause

Through tissue characterization, cardiac MRI reveals scarring, inflammation (myocarditis) or storage diseases – often the key to the cause of heart failure.

Cardiac CT

If coronary artery disease is the underlying cause, cardiac CT images the coronary arteries directly – non-invasively and without a catheter. The radiation dose is as low as is currently technically possible and bears no relation to the risk of undetected coronary artery disease.

How it works

Certainty in three steps

Book an appointment

Conveniently online or by phone – you will receive a timely appointment through our friendly reception.

The examination

Echocardiography and – if needed – cardiac MRI, in a calm atmosphere; a contrast agent via the arm vein makes the tissue assessable.

Findings & consultation

You receive a detailed report and a personal consultation about the further course of action.

Your doctors

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.

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.

Prevalence & background

Heart failure is one of the most common diagnoses among hospital admissions in Germany and affects several million people – with a rising tendency.¹ It should be taken seriously: in community-based studies, roughly half of those affected do not survive the first five years after diagnosis² – at the same time, its course can be influenced all the better the earlier it is detected and its cause treated. The most common cause is a narrowing of the coronary arteries by deposits (= CAD = coronary artery disease),³ which – together with its secondary conditions such as heart failure and cardiac arrhythmias – accounts for around 200,000 deaths per year and is the most common cause of death in Germany.⁴ How often this coronary artery disease develops unnoticed over a long period was shown by the REACT study in 2026 – in around 57 % of symptom-free adults, vascular deposits were already found.⁸ Crucial for diagnosis and treatment is the precise measurement of the ejection fraction: echocardiography is the basic examination, while cardiac MRI is regarded as the reference method for the exact, reproducible determination of ejection fraction and cardiac volumes.⁵ In addition, through tissue characterization cardiac MRI makes scarring, inflammation or storage diseases visible – often the key to the cause – entirely without radiation exposure.⁶ And cardiac CT rules out a coronary cause non-invasively.⁷ Whether and which examination is appropriate in your case, we will clarify together based on your individual risk profile.

References
  1. Deutsche Herzstiftung. Deutscher Herzbericht, Update 2024/2025 – Herzinsuffizienz als häufige stationäre Diagnose.
  2. Jones NR, Roalfe AK, Adoki I, et al. Survival of patients with chronic heart failure in the community: a systematic review and meta-analysis. Eur J Heart Fail 2019;21(11):1306–1325.
  3. Bundesärztekammer, KBV, AWMF. Nationale VersorgungsLeitlinie (S3) Chronische Herzinsuffizienz, Version 4.0, 2023. leitlinien.de
  4. Statistisches Bundesamt (Destatis), Todesursachenstatistik 2023, und Deutscher Herzbericht 2024/2025 (koronare Herzkrankheit und ihre Folgeerkrankungen: rund 200.000 Sterbefälle/Jahr); RKI, Koronare Herzkrankheit – Sterblichkeit (rund 126.000 Sterbefälle, Berichtsjahr 2022). rki.de
  5. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 2021;42(36):3599–3726 (2023 Focused Update).
  6. Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG). Kardiale Magnetresonanztomografie – Nutzenbewertung, Oktober 2025.
  7. 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.
  8. 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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