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When the heart skips a beat, a closer look is worthwhile.
Heart rhythm · Munich

Palpitations & atrial fibrillation

When the heart falls out of rhythm – clarified with precision.

Heart palpitations are often harmless – but sometimes they are the first sign of atrial fibrillation, the most common sustained heart rhythm disorder, which, if left untreated, increases the risk of stroke and heart failure. And the dangerous rhythm disorders arise in the great majority of cases on the basis of coronary artery disease (CAD – the gradual clogging of the coronary arteries by calcification). Using ECG, long-term (Holter) ECG, echocardiography and – if necessary – cardiac MRI and cardiac CT, we clarify the cause and significance of your symptoms and rule out coronary artery disease. 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 rhythm assessment makes sense

Two good reasons to take a closer look

For palpitations or a racing heart

If you feel skipped beats, fluttering or a sudden racing heart, we use ECG and long-term ECG to clarify whether harmless extrasystoles or an arrhythmia requiring treatment lies behind it.

When atrial fibrillation is suspected

Atrial fibrillation often goes unnoticed but markedly increases the risk of stroke. Especially with high blood pressure, after the age of 65 or with a family history, a targeted assessment is worthwhile.

The path to a diagnosis

From symptom to cause

Reliably classifying an arrhythmia means two things: recording it at the right moment – and determining whether an underlying heart disease is involved, not infrequently coronary artery disease (CAD). Precisely the most dangerous form, sudden cardiac death, is attributable to CAD in more than three quarters of cases; it should therefore be specifically ruled out – for example with cardiac CT. We bring both together under one roof.

ECG & long-term ECG

The resting ECG captures the moment; the long-term ECG records even rare episodes over hours to days – so the arrhythmia is documented when it occurs.

Echocardiography

The cardiac ultrasound shows whether a structural heart disease – such as a valve or pumping weakness – underlies the arrhythmia.

Cardiac MRI

The cardiac MRI depicts the heart muscle without radiation and reveals scarring or inflammation that can trigger arrhythmias.

Cardiac CT

When a coronary cause is suspected, cardiac CT images the coronary arteries directly – non-invasively and without a catheter.

How it works

Certainty in three steps

Book an appointment

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

The examination

ECG and long-term ECG, echocardiography and – when needed – cardiac MRI or cardiac CT, in a calm atmosphere, by experienced specialists in cardiology and radiology.

Findings & consultation

You will receive a detailed report and a personal conversation about the next steps.

Your physicians

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

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

Heart palpitations are among the most common reasons people have their heart examined – usually something harmless is behind them, such as isolated extrasystoles. Yet two things make rhythm diagnostics important. First, atrial fibrillation, the most common sustained cardiac arrhythmia: in Germany it affects an estimated more than one million people, often remains unnoticed for a long time, increases the risk of stroke roughly fivefold – about one in five strokes is attributable to it – and is associated with increased mortality.¹ ² Second, the cause: precisely the threatening arrhythmias arise, by far predominantly, on the basis of a narrowing of the coronary arteries by deposits (= CAD = coronary artery disease) – in sudden cardiac death it is the cause in more than three quarters of cases.³ How often such coronary artery disease remains silent for a long time was shown by the REACT study in 2026: in around 57 % of symptom-free adults, vascular deposits were already found.⁸ This is exactly where we come in: ECG and long-term (Holter) ECG document the arrhythmia, echocardiography shows pump function and valves, cardiac MRI makes scarring or inflammation of the heart muscle visible without radiation,⁴ and cardiac CT non-invasively rules out a coronary cause.⁵ Whether and which examination is appropriate in your case we clarify together, based on your individual risk profile.

References
  1. Deutsche Herzstiftung. Deutscher Herzbericht, Update 2024/2025 – Vorhofflimmern und Herzrhythmusstörungen in Deutschland.
  2. Van Gelder IC, Rienstra M, Bunting KV, et al. 2024 ESC Guidelines for the management of atrial fibrillation. Eur Heart J 2024;45(36):3314–3414.
  3. Zeppenfeld K, Tfelt-Hansen J, de Riva M, et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart J 2022;43(40):3997–4126.
  4. Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG). Kardiale Magnetresonanztomografie – Nutzenbewertung, Oktober 2025.
  5. 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.
  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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