Concierge cardiology · London
Private ambulatory blood pressure and Holter monitoring in London, reported by a consultant cardiologist.
Wearable monitoring for blood pressure and heart rhythm — reported by a cardiologist, not left as raw data on an app.
Why patients choose us
- 01
The right recording length
We match device duration to how often your symptoms or BP fluctuations actually happen.
- 02
Reported by a consultant cardiologist
Every trace and BP profile is interpreted by a consultant - not left as raw data on an app.
- 03
Independent, and free
We take no fee from clinics, so the recommendation is impartial and costs you nothing.
Indicative pricing
What private ambulatory monitoring costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A 24-hour BP monitor: £180-£350; a 14-day patch £500-£1,000.
| Device | Indicative range | Fitting time | Report turnaround |
|---|---|---|---|
| 24-hour blood pressure monitor | £180–£350 | 15 min fit | 3–5 days |
| 24-hour Holter ECG | £220–£400 | 15 min fit | 3–5 days |
| 48-hour Holter ECG | £280–£500 | 15 min fit | 3–5 days |
| 7-day event recorder | £400–£800 | 15 min fit | 5–7 days |
| 14-day patch monitor | £500–£1,000 | 15 min fit | 7–10 days |
| Implantable loop recorder (referral) | £2,500–£5,000 | Short procedure | Ongoing |
Prices vary by clinic, device length, and whether a consultant review is included. We come back with a firm quote within one working day.
The problem
A clinic snapshot is not the same as real life.
Blood pressure jumps in a clinic. Palpitations vanish when a doctor listens. Ambulatory monitoring captures what actually happens across a day or two weeks - and matches the device to the frequency of the symptom.
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BP high in clinic, normal at home?
A 24-hour ambulatory monitor settles the question NICE recommends it be settled with.
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Symptoms every few weeks?
A 14-day patch is far more likely to catch it than a 24-hour Holter.
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Want a cardiologist to read it?
We route to clinics where a consultant reports every trace, not software alone.
The journey
From enquiry to report - what happens, in order.
One clinician from first message to explained result - fitting is quick, the wearing period does the work.
Phase 1 · Before your test
Concierge, off-stage for you
Phase 2 · Wearing the device
24 hours to 14 days
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, BP readings, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: which monitor, which clinic, indicative price. If a device is not the right step, we say so.
- 03
Before
We arrange the appointment
Often same or next day for fitting, including evenings and Saturdays. Insurer pre-authorisation handled.
- 04
Wearing
Arrival and fitting
A 15-minute appointment. Cuff or electrodes are fitted, you are shown how the diary works.
- 05
Wearing
You wear the monitor
Go about your day. BP monitors inflate periodically; Holter and patch devices record continuously. Keep the symptom diary.
- 06
Wearing
Return the device
Drop back to the clinic or return by secure courier. No recovery time - drive, eat and work as normal throughout.
- 07
After
Report and next steps
Consultant cardiologist report in 3-10 days depending on device length. We route it to your GP or specialist.
Typical end-to-end: 3-10 days. Urgent fittings: same week.
What it shows
Find the monitor that matches your question.
BP and rhythm questions differ in pattern. These are the eight we are asked to answer most.
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Ambulatory blood pressure profile
A true day-and-night picture of your BP, far more accurate than a single clinic reading.
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White-coat vs true hypertension
Distinguishes clinic-only spikes from sustained high blood pressure that needs treating.
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Palpitations
Captures a racing, skipping or thumping heartbeat while you go about a normal day.
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Unexplained syncope
Investigates blackouts and near-blackouts for a rhythm or conduction cause.
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Suspected atrial fibrillation
Detects AF, the most common serious rhythm problem and a major stroke risk.
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Prolonged AF screening (14-day)
A patch worn for two weeks catches intermittent AF that shorter monitors miss.
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Antihypertensive medication review
Checks whether your current tablets control BP across 24 hours - or overshoot at night.
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Red flag: syncope with exertion
Fainting during exercise needs urgent cardiology assessment, not just a monitor - we route accordingly.
Device types
Not all monitors are the same.
What each device on your referral is actually for.
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24-hour BP monitor
A cuff that inflates every 30 minutes by day and hourly at night, for a true ambulatory blood pressure profile.
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24-hour Holter ECG
A small recorder worn for a day - catches symptoms that happen most days.
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48-hour Holter
Two days of continuous ECG for slightly less frequent symptoms.
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7-day event recorder
A week of monitoring for symptoms that happen a few times a week.
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14-day patch monitor
A slim adhesive patch worn continuously for two weeks - showerproof and no wires.
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Post-stroke rhythm screen
Prolonged monitoring to find paroxysmal AF after a cryptogenic stroke or TIA.
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Post-ablation monitor
Rhythm surveillance after AF ablation to check the procedure has held.
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Implantable loop recorder pathway
Referral for a tiny under-skin recorder when symptoms are rare but serious.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly - introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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Consultant cardiologists reporting every trace
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Same-week appointments for fitting
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Secure device return by courier if preferred
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Onward electrophysiology pathway if needed
Safety and eligibility
Non-invasive, but there is a knack to wearing it well.
Ambulatory monitoring is completely safe. The practical points are wearing it properly - and knowing what a normal recording does and does not rule out.
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Wear the monitor as normal
Go about your usual day - work, walk, exercise light to moderate. The recording is only useful if it reflects real life.
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Keep it dry
Standard Holter and BP monitors must stay dry - no showers, baths or swimming. Waterproof patches are fine to shower in.
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The symptom diary matters
Note the time of every palpitation, dizzy spell or headache. Correlating the trace with your symptoms is half the value.
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Avoid tight clothing over BP cuff
The cuff needs to inflate freely. Loose sleeves make readings more reliable and the day less uncomfortable.
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Sleep can be disturbed
BP cuffs inflate through the night; Holter wires can be fiddly. Worth knowing in advance so you plan around it.
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Brief redness at electrode sites
The adhesive occasionally leaves marks or mild irritation. Tell us if you have had a reaction before.
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Phone and watch data is not medical
Consumer wearables can flag concerns but do not replace a medical-grade recording read by a cardiologist.
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Sensitivity depends on frequency
A 24-hour monitor cannot catch a monthly episode - matching duration to symptom frequency is the whole point.
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Repeat monitoring is sometimes needed
A negative trace does not always end the question. Longer or repeat monitoring is a normal next step.
Reading your report
Days of data, boiled down to a page.
Whether 24 hours of BP or 14 days of rhythm, the report keeps to the same four parts.
A quiet reminder
"No episodes recorded" is not the same as "nothing wrong".
If your symptoms are rare, a longer or repeat study is the sensible next step - and we will say so.
- 01 Header
Your details and the question
Your details, which device was worn, and the symptoms or BP question behind it.
- 02 Technique
Device and duration
Whether this was 24-hour BP, a 24- or 48-hour Holter, a 7-day event recorder or a 14-day patch - each answers a different question.
- 03 Findings
BP averages or rhythm summary
Daytime and night-time BP averages and dip pattern, or heart rate range, ectopy burden and any arrhythmias, alongside your diary entries.
- 04 Impression
Read this first
Normal, hypertension, arrhythmia or a cardiology pathway - what it means and what to do next.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about ambulatory monitoring.
Quick answers on cost, referrals, comfort, sleep, showering and results.
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How is 24-hour BP different from a clinic reading?
A single clinic reading is a snapshot, often affected by the setting itself. A 24-hour ambulatory monitor takes readings across a full day and night, gives daytime and night-time averages, and shows whether your BP dips normally overnight. NICE recommends it before diagnosing hypertension.
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Should I have a Holter or an event recorder?
If symptoms happen most days, a 24- or 48-hour Holter usually catches them. If they happen a few times a week, a 7-day event recorder is far more likely to record the episode. For rarer symptoms, a 14-day patch or an implantable loop recorder is the right step.
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How much does ambulatory monitoring cost in London?
A 24-hour BP monitor is typically £180-£350. A 24-hour Holter is £220-£400, rising to £500-£1,000 for a 14-day patch. We confirm a firm figure within one working day, including consultant reporting.
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Do I need a referral?
Most monitors accept self-referral. We can arrange a fast-track private GP or cardiologist if you would like the result interpreted in a consultation.
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Can I sleep in it?
Yes. BP cuffs inflate less often overnight but may still disturb sleep. Holter and patch monitors are worn continuously - most people sleep normally after the first night.
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Can I shower with it on?
Standard Holter and BP monitors must stay dry - no showers, baths or swimming. Waterproof adhesive patches are fine to shower in but not to swim.
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How important is the symptom diary?
Essential. Correlating the trace with the moments you felt palpitations, dizziness or headaches is half the value of the study. We give you a simple diary sheet or app.
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How quickly will I get results?
Reports take 3-5 days for a 24- or 48-hour study, 5-7 days for a 7-day recorder and 7-10 days for a 14-day patch, because there is a great deal of data to analyse.
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What does "no episodes recorded" mean?
It means nothing was captured during the wearing period. It does not always mean there is nothing wrong - if symptoms are rarer than the monitor was long, a longer or repeat study is the sensible next step.
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When should I see a GP urgently instead?
If you have fainted during exercise, have chest pain, severe breathlessness, or a family history of sudden cardiac death, seek urgent assessment rather than waiting for a monitor. Call 999 for chest pain that is severe or new.
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