In the last years, cardiac MRI techniques have progressively improved. No other noninvasive imaging modality provides the same degree of contrast and temporal resolution for the assessment of cardiovascular anatomy and pathology. Contraindications MRI are the same as for other magnetic resonance techniques.
The primary advantage of MRI is extremely high contrast resolution between different tissue types, including blood. Moreover, MRI is a true 3 dimensional imaging modality and images can be obtained in any oblique plane along the true cardiac axes while preserving high temporal and spatial resolution with precise demonstration of cardiac anatomy without the administration of contrast media.
Due to these properties, MRI can precisely characterize cardiac function and quantify cavity volumes, ejection fraction, and left ventricular mass. In addition, cardiac MRI has the ability to quantify flow (see flow quantification), including bulk flow in vessels, pressure gradients across stenosis, regurgitant fractions and shunt fractions. Valve morphology and area can be determined and the severity of stenosis quantified. In certain disease states, such as myocardial infarction, the contrast resolution of MRI is further improved by the addition of extrinsic contrast agents (see myocardial late enhancement).
A dedicated cardiac coil, and a field strength higher than 1 Tesla is recommended to have sufficient signal. Cardiac MRI acquires ECG gating. Cardiac gating (ECGs) obtained within the MRI scanner, can be degraded by the superimposed electrical potential of flowing blood in the magnetic field. Therefore, excellent contact between the skin and ECG leads is necessary. For male patients, the skin at the lead sites can be shaved. A good cooperation of the patient is necessary because breath holding at the end of expiration is practiced during the most sequences.

See also Displacement Encoding with Stimulated Echoes.
For Ultrasound Imaging (USI) see Cardiac Ultrasound at Medical-Ultrasound-Imaging.com.

See also the related poll results: 'In 2010 your scanner will probably work with a field strength of' and 'MRI will have replaced 50% of x-ray exams by'

The cardiac anatomy is complex, and cardiac structures have different appearances depending on the imaging plane. The most useful imaging planes are those parallel and perpendicular to the cardiac axes. The short axis (SA), vertical long cardiac axis (VLA - 2 chamber view - 2C) and horizontal long axis (HLA - 4 chamber view - 4C) are the standard views in cardiovascular imaging. The orientation of a heart is described relative to an imaginary line drawn from the base of the heart (valve plane) to the apex.
Obtaining cine images in these double-oblique planes requires the use of multiple localizing MRI sequences and knowledge of the cardiac anatomy. The long axis image plane is determined by the line that runs from the apex of the heart to a midpoint at the base of the heart, often taken to be midway between the mitral valve leaflets. The short axis is planned perpendicular to the long axis view.

A particular point in the cardiac cycle.

During the MRI scan an augmentation of T waves is observed at fields used in standard imaging but this possible MRI side effect is completely reversible upon removal from the magnet. A field strength dependent increase in the amplitude of the ECG in rats has been observed during exposure to high homogeneous stationary magnetic fields, but this side effect is not transferable to standard imaging situations for humans.

The minimum level at which augmentation can be observed is 0.3 T and increases by higher field strength. An augmentation in T-wave amplitude can occur instantaneously and is immediately reversible after exposure to the magnetic field ceased. There should be no abnormalities in the ECG in the later follow-up. Augmentation of the signal amplitude in the T-wave segment may result from superimposed electrical potential. No circulatory alterations coincide with the ECG changes. Therefore, no biological risks are believed to be associated with them.

For more MRI safety information see also Contraindications and MRI Risks.

The MRI safety of cardiac stents is dependent of the material, the examined part of the body and the used field strength. A susceptibility artifact is expected also in low magnetic fields, but less.

Most of the used materials are non-magnetic, for this case there is no risk for movement caused through the magnetic field. If the cardiac stent is outside the region of the radio frequency pulse, also the risk of e.g. heating is low.