As MRI machines are not currently available at all hospitals in the UK, you may be referred to a different hospital if you require an MRI scan.
What is a cardiac MRI Scan?
A cardiac MRI scan is a non-invasive test that uses an MRI machine to create magnetic and radio waves to create clear pictures showing the inside of your heart. Unlike an X-ray, an MRI scan does not use radiation.
What can a cardiac MRI show?
A cardiac MRI scan is used to view your heart’s structure (the muscle, chambers and valves of the heart) and to assess how well it’s pumping. A cardiac MRI is useful for checking structural problems with your heart, such as:
MRI scans can also be used to look at the blood supply to your heart. They can help your doctor to investigate conditions such as:
What happens during a cardiac MRI scan?
- You lie on a bed, which moves inside a tunnel-shaped scanner. The scanner is open at both ends.
- You’ll be asked to lie still while the scan is taking place.
- The scan may last for up to an hour, but there’s a buzzer you can press if you need to speak to the radiographer (the person operating the scanner).
- The scanner is quite noisy – you’ll be able to hear banging sounds – but you’ll usually be offered earplugs or, better still, earphones so you can listen to music and relax
- As it’s important to stay still during the scan, babies and young children are often given a general anaesthetic before an MRI scan.
- For some cardiac MRIs the doctor will use a dye known as contrast agent so that the images of blood flow to your heart show up more clearly on the scan. The dye will be injected into a vein in your arm. Your doctor will give you more information about this if it’s required.
The test is pain free, but if you’re claustrophobic (afraid of being in small spaces), tell your doctor before the test. You may be offered a mild sedative - a drug to help you relax.
What happens after the scan?
Most people that have a cardiac MRI scan will not have to stay in hospital overnight. You should be able to go back to your normal activities straight away. Some exceptions to this are:
- If you’ve been given a sedative, you won’t be able to drive and will need to be taken home by a friend or relative. You will not be allowed to drink alcohol or operate machinery for 24 hours.
- If you’ve been given an injection of a dye (contrast agent), it’s a good idea to drink a lot of water for the following 24 hours to help flush the dye out of your body.
It’s unlikely that the results of your scan will be available immediately. Usually the doctor who arranged the scan will discuss the results with you a couple of weeks after the scan.
Is a cardiac MRI suitable for everyone?
If you have a pacemaker or an implantable cardiac defibrillator (ICD) you should speak to medical staff before having an MRI scan. Most modern devices can withstand MRI scanning but it's always important that the make and model number is checked beforehand. An MRI can also affect the settings of your device, as each one is programmed specifically for your heart.
You can’t have an MRI scan if you have:
- inner ear implants or
- any type of surgical foreign body such as a metal clip in the brain or eye.
This is because the scanner uses very strong magnets that could deactivate the pacemaker or defibrillator and cause anything made of metal to move.
If your kidneys aren’t working well, the dye used during the scan could cause further damage. Your doctor will take a blood test before the scan to check your kidney function, and explain the risks and benefits to you. You may need some fluids through a ‘drip’ in your arm before the MRI scan if you have kidney problems.
How can I prepare for the test?
- Talk to your doctor if you have any medical implants (such as a pacemaker), stents or are pregnant before the test.
- Most people can eat normally and continue taking any medication before the test.
- Remove all electronic devices and credit/debit cards from your pocket. The magnets used in the machine can damage these items.
- Take off all metal objects such as jewellery, watches and hearing aids.
Help fund our research on cardiac MRI
Your money helps us fund hundreds of top scientists all over the UK, including the work of Dr John Greenwood, whose team is working on research that will help doctors use cardiac MRI scans to safely and accurately diagnose coronary heart disease.
Read about how MRI scans are being used in the latest research into diagnosing heart disease.
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