Concierge cardiac electrophysiology · London
Private electrophysiology study in London, by a consultant electrophysiologist.
A BHRS-accredited electrophysiologist maps and — where indicated — ablates the arrhythmia at the same visit, in a fully equipped EP lab.
Why patients choose us
- 01
BHRS-accredited EPs
Every study is run by a BHRS-accredited consultant electrophysiologist — not a general cardiologist.
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3D mapping EP lab
Modern EP labs with 3D electroanatomic mapping and same-day ablation where clinically indicated.
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Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private EP study and ablation cost in London.
Indicative ranges across our partner EP labs. Send the details and we quote firm figures across two or three options.
In short
A diagnostic EP study in our network: £3,500–£7,000; SVT ablation £8,000–£15,000; AF ablation £14,000–£28,000.
| Procedure | Indicative range | Typical duration | Discharge |
|---|---|---|---|
| Diagnostic EP study | £3,500–£7,000 | Half-day | Same-day |
| EP study + SVT ablation | £8,000–£15,000 | Half-day | Same-day |
| EP study + AF ablation | £14,000–£28,000 | Full-day | 2–3 days |
| EP study + VT ablation | £16,000–£30,000 | Full-day | 3–5 days |
| EP study + pacemaker/ICD implant | £10,000–£20,000 | Half-day | Same-day |
| Repeat EP study | £5,000–£10,000 | Half-day | Same-day |
Prices vary by clinic, whether ablation is performed at the same visit, energy type (radiofrequency or cryoballoon), and whether a device implant is combined. We come back with a firm quote within one working day.
The problem
Palpitations and blackouts deserve a definitive answer.
An EP study turns a rhythm mystery into a plan — and in most cases, a treatment — in a single admission. Choosing the right operator and the right lab is the job. We do it properly.
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Diagnostic study or ablation?
We will tell you honestly whether a diagnostic study alone is enough — or whether same-visit ablation is the right plan.
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Worried about the risks?
Modern EP labs and BHRS-accredited operators keep major-complication rates low. We quantify them clearly at consent.
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Need a device too?
On a combined pathway, a pacemaker, ICD or loop recorder can be implanted on the same admission.
The journey
From enquiry to report — what happens, in order.
One clinician from first message to signed report — usually within one to two weeks.
Phase 1 · Before your study
Concierge, off-stage for you
Phase 2 · On the day
Half to full day at the EP lab
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Palpitations, syncope, prior ECGs and Holters, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: diagnostic EP study, ablation plan or device pathway, which clinic, indicative price. If a study is not the right step, we say so.
- 03
Before
We arrange the appointment
Often within one to two weeks. Anticoagulation, fasting and driving restrictions confirmed in writing. Insurer pre-authorisation handled.
- 04
On the day
Arrival and admission
Anaesthetist review for AF or VT cases. Groin access site marked, cannula sited, prior ECGs and Holters uploaded to the lab.
- 05
On the day
In the EP lab
Catheters passed via the femoral vein under X-ray and 3D mapping. The arrhythmia is induced, mapped and — where indicated — ablated at the same visit.
- 06
On the day
Recovery and discharge
Bed rest for a few hours to protect the groin. Most diagnostic and SVT cases home the same day; AF and VT ablations usually stay overnight.
- 07
After
Report and next steps
Consultant electrophysiologist report with tracings, ablation map and medication plan. Follow-up rhythm monitoring arranged.
Typical end-to-end: 1–2 weeks. Complex AF or VT cases may need a follow-up study.
What it shows
What an EP study and ablation are genuinely best at.
Electrophysiology earns its place for specific rhythm questions — SVT, AF, VT, WPW and syncope. These are the ones we arrange most.
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Recurrent SVT
Supraventricular tachycardia mapped and, in most cases, curatively ablated at the same visit.
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Atrial fibrillation
Pulmonary vein isolation (PVI) for symptomatic paroxysmal or persistent AF, radiofrequency or cryoballoon.
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Ventricular tachycardia
Mapping and ablation of VT, including scar-related VT after prior infarction or cardiomyopathy.
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WPW
Wolff–Parkinson–White accessory pathway localisation and ablation — a definitive, one-visit treatment.
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Unexplained syncope
Electrophysiology testing when Holter and loop-recorder data suggest a rhythm cause for blackouts.
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Pre-pacemaker/ICD
Risk stratification and pathway assessment before device implant — bradycardia, heart block or sudden-death risk.
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Pre-ablation mapping
3D electroanatomic mapping of complex or atypical arrhythmias to plan the safest ablation strategy.
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Red flag — call 999
Cardiac arrest or sustained VT are emergencies. Call 999. An EP study is for planned rhythm work-up, not acute collapse.
Study types
Not all EP studies are the same.
What each option on your referral is actually for.
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Diagnostic EP study
Catheter study to induce and characterise the arrhythmia, with no ablation performed.
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SVT ablation
Same-visit ablation of AVNRT, AVRT or atrial tachycardia — usually curative in one session.
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AF ablation (PVI)
Pulmonary vein isolation for symptomatic atrial fibrillation, radiofrequency or cryoballoon.
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VT ablation
Substrate and activation mapping of ventricular tachycardia, often in scar-related disease.
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LAA occlusion referral
Onward pathway for left atrial appendage occlusion when long-term anticoagulation is unsuitable.
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Pacemaker/ICD implant
Bradycardia, heart-block or sudden-death pathways with device implant on the same admission.
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Loop recorder
Implantable loop recorder for intermittent palpitations or unexplained syncope not captured on Holter.
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Repeat EP study
Repeat mapping and ablation after AF or VT recurrence, or to top up a prior PVI.
Our vetted London network
A small panel of EP labs, we picked them.
Electrophysiology 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 EP lab in our network.
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BHRS-accredited consultant electrophysiologists
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EP lab with 3D electroanatomic mapping (CARTO or EnSite)
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Same-day ablation performed where clinically indicated
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Onward heart-failure or inherited-arrhythmia genetics pathway
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Anaesthetist on the case for AF and VT ablation
Safety and eligibility
Bleeding, anticoagulation, driving — and the small print.
An EP study is safe and well tolerated in the right patient. Complication rates are low in BHRS-accredited hands, and the day-of preparation matters more than most people expect.
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Bleeding at groin access
Small risk of bruising, haematoma or, rarely, an arterio-venous fistula at the femoral puncture site. Bed rest for a few hours reduces this.
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Stroke and heart attack
A small risk of stroke or heart attack applies to any left-heart procedure. Anticoagulation and intra-procedural heparin lower it significantly.
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Atrio-oesophageal fistula
A very rare but serious complication of AF ablation. Oesophageal temperature is monitored throughout, and post-procedure warning symptoms are explained clearly.
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Anticoagulation, planned individually
DOAC or warfarin dosing around the procedure is agreed with your electrophysiologist based on CHA₂DS₂-VASc score and bleeding risk.
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Fasting from midnight
Nil by mouth from midnight for a morning list. Essential regular medicines are taken with a small sip of water unless we say otherwise.
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Driving restriction
You must not drive yourself home. DVLA restrictions apply after ablation and, for longer, after ICD implant — we give written guidance.
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Pregnancy
EP procedures are deferred in pregnancy wherever possible because of X-ray exposure. Tell us and we will discuss alternatives.
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Anaesthetist on the case
AF and VT ablations are performed under general anaesthesia or deep sedation, with a consultant anaesthetist present throughout.
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Share prior ECGs and Holters
Please bring or email prior 12-lead ECGs, Holter reports and any device downloads — they materially change the plan.
Reading your report
An EP report can look intimidating. It isn’t.
However detailed it looks, an EP study report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that is normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and baseline tracings
Your details, the clinical question, baseline 12-lead ECG and any provoked or spontaneous tracings from the study.
- 02 Technique
Mapping, catheters and energy
3D mapping system used (CARTO or EnSite), catheter set-up, ablation energy (radiofrequency or cryoballoon) and anaesthetic technique.
- 03 Findings
Rhythm map and ablation lesions
The arrhythmia mechanism, mapped circuit or focus, lesion set delivered and confirmation of block or non-inducibility.
- 04 Impression
The conclusion: read this first
Success rate for your arrhythmia, medication plan going forward, and follow-up rhythm monitoring. Your electrophysiologist discusses it in context.
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 EP study and ablation.
Quick answers on cost, success rates, driving, fasting and next steps.
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What does an electrophysiology (EP) study do?
An EP study threads fine catheters into the heart via the femoral vein to record and stimulate its electrical activity. It reproduces the arrhythmia, maps where it originates and, in most cases, allows the electrophysiologist to ablate it at the same visit — turning a diagnosis into a treatment in one admission.
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What are the risks of an EP study and ablation?
Common risks are groin bruising and a small risk of haematoma. Serious risks — stroke, heart attack, cardiac perforation, phrenic-nerve injury and, for AF ablation, the very rare atrio-oesophageal fistula — are quantified at consent. Overall major-complication rates are low in high-volume BHRS-accredited hands.
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What are the success rates for ablation?
SVT and WPW ablation are curative in roughly 95% of cases after one session. Paroxysmal AF ablation gives 70–80% freedom from AF at one year, higher after a top-up. VT ablation success depends on substrate and underlying disease — your electrophysiologist quotes a figure specific to your case.
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How much does a private EP study cost in London?
A diagnostic EP study is typically £3,500–£7,000 in our network. SVT ablation is £8,000–£15,000. AF ablation is £14,000–£28,000 and VT ablation £16,000–£30,000. We confirm a firm figure — and any insurer pre-authorisation — within one working day.
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Can I drive after an EP study or ablation?
You cannot drive yourself home on the day. DVLA restrictions typically apply for a short period after ablation and for longer after ICD implant. We give written, DVLA-aligned guidance and, where relevant, an occupational-driving letter.
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Do I need to fast before the procedure?
Yes. Nil by mouth from midnight for a morning list, or from six hours before an afternoon slot. Essential regular medicines are taken with a small sip of water unless your electrophysiologist advises otherwise.
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What if I am pregnant?
EP procedures involve X-ray fluoroscopy and are deferred in pregnancy wherever possible. Tell us and we will discuss safer alternatives such as beta-blockade until after delivery.
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How quickly do I get the results?
You are debriefed on the day, and a consultant electrophysiologist report with tracings and ablation map is issued within a few days. Follow-up rhythm monitoring — Holter or loop recorder — is booked at the same time.
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When is a pacemaker or ICD offered as well?
If the study reveals significant bradycardia, complete heart block or sudden-death risk from an inherited condition or scar, a pacemaker or ICD is offered on the same admission where possible. We plan for this in advance so a single visit covers both.
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When should I see a GP urgently?
Contact your GP or 111 urgently for sudden severe palpitations with chest pain or breathlessness, blackouts, or if you feel faint on standing. Call 999 for collapse, cardiac arrest or sustained fast palpitations that will not stop.
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