A member asked:

If coronary artery disease cannot be identified by mra, why did my cardiologist tell me it could be? and cancelled my angio because mra was normal?

6 doctors weighed in across 3 answers

Complicated: Harrie, MRA is a good (but not perfect) test for detecting Coronary Artery Disease (CAD). It is an excellent screening test, especially in the young or those without major risk factors. Since CAD is very unlikely in a 23 year old, your cardiologist probably felt this was sufficient to rule it out, and an invasive procedure like a cath wasn't worth the risk to you. Hope this helps!

Answered 12/21/2014

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It can.: At 24 years of age, your chances of having significant coronary artery disease are small, especially if there is no early heart disease in the family. MRA is non-invasive, and can identify coronary artery disease, though with limitations. Cardiac catheterization is invasive, and while it is a definitive study, it is not without risk of complications.

Answered 9/9/2014

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Dr. Jean Jeudy answered

Specializes in Radiology

MR of coronaries: An MRI/MRA of the chest is usually to asses global anatomy and large vessels. Coronary vessels are too small to be accurately evaluated by MR, although this is an area of continuing research. Cardiac CT would be the best noninvasive imaging test to evaluate the coronary anatomy, although given your age, your risk is small without significant history or clinical findings

Answered 12/21/2014

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