Concierge cardiac screening · London
Heart health screening, the modern menu — ECG, echo, calcium score, CTCA and CaRi-Heart AI.
A structured heart health screening combines resting ECG, echocardiogram, blood pressure, advanced lipid profiling and optional coronary calcium score / CTCA. Modern private option adds CaRi-Heart AI for coronary inflammation profiling.
Why patients choose us
- 01
The right hands
We route you to a consultant cardiologist — the person who reviews your results decides what they mean.
- 02
Often answers same-day
ECG, echo, blood pressure and bloods can frequently be completed and discussed in a single visit.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Key facts
The screen, in six lines.
What a modern heart health screening actually is — and what it produces at the end.
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Definition
A structured cardiac risk screen — a rounded picture of the heart, arteries and modifiable risk.
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Core tests
Resting ECG, echocardiogram and advanced lipids — the standard base of the screen.
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Calcium score
Reclassifies intermediate 10-year cardiovascular risk with a single low-dose CT.
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CTCA
Visualises coronary plaque and stenosis directly, without cardiac catheterisation.
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CaRi-Heart AI
Fat Attenuation Index quantifies coronary artery inflammation from a CTCA dataset.
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Output
A personalised risk-reduction plan — not a certificate, an action list.
Indicative pricing
What a private heart health screening 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 core heart health screen in our network: £650–£1,200, usually completed in a single visit.
| Package | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Core heart health screen (ECG, echo, bloods, consult) | £650–£1,200 | 90 min | Same visit |
| Core screen + coronary calcium score | £900–£1,600 | 2 hours | Same-day |
| Core screen + CTCA | £1,600–£2,600 | Half-day | 48 hours |
| CTCA + CaRi-Heart FAI analysis | £2,400–£3,400 | Half-day | 5–7 days |
| Executive full cardiovascular assessment | £2,500–£4,500 | Half-day | 48 hours |
| Cardiology follow-up consultation | £280–£450 | 45 min | Same visit |
Prices vary by clinic, whether imaging is included and which CaRi-Heart tier is used. We come back with a firm quote within one working day.
The problem
A cardiac screen is only as good as the plan at the end of it.
The tests are the easy part. The value sits in the cardiologist who ties calcium score, echo, lipids and inflammation into a single plan you can actually act on.
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Family history of heart disease?
We build the screen around your inherited risk, not around a generic package.
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Intermediate risk, unsure about statins?
A calcium score or CTCA gives the reclassifying answer that changes the conversation.
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Executive or performance-driven?
The full menu — calcium, CTCA, CaRi-Heart — folded into a single half-day.
Diagnosis and preparation
From consultation to plan — seven ordered steps.
One cardiologist from first message to plan — often within days.
Phase 1 · Before the screen
Consultation and baseline
Phase 2 · On the day
Same-visit tests and imaging
Phase 3 · After
Cardiology review and plan
- 01
Before
Cardiology consultation
A consultant cardiologist takes a full history, family history and lifestyle picture — the screen is designed around you, not sold as a package.
- 02
Before
Baseline observations and QRISK3
Blood pressure, heart rate, BMI and QRISK3 10-year cardiovascular risk — the anchor everything else is compared against.
- 03
On the day
ECG and echocardiogram
Resting 12-lead ECG and transthoracic echo — rhythm, chamber size, valves and left-ventricular function on the same visit.
- 04
On the day
Advanced lipids and biomarkers
Full lipid profile with ApoB and Lp(a), HbA1c, renal and thyroid function, hs-CRP — the modern lipid panel, not just total cholesterol.
- 05
On the day
Optional coronary calcium score / CTCA
Low-dose CT calcium score, or a full CT coronary angiogram with CaRi-Heart inflammation profiling where indicated.
- 06
After
Cardiology review
A consultant cardiologist synthesises the results — not a portal dump, a face-to-face read of what actually matters for you.
- 07
After
Structured plan
A written cardiovascular plan — lifestyle prescription, medication if indicated, and a defined interval for re-screening.
Typical end-to-end: 3–10 days. Executive half-day: a single visit.
What it shows
The eight things a modern cardiac screen actually answers.
Structure, function, risk and inflammation — mapped to specific tests, not a generic tick-box.
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10-year CV risk
A calibrated QRISK3 estimate, refined by imaging and advanced lipids.
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LV function
Left-ventricular ejection fraction, chamber size and diastolic function on echo.
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Valvular disease
Detects and grades aortic, mitral, tricuspid and pulmonary valve disease.
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Coronary calcium burden
Agatston score — a direct measure of established coronary atherosclerosis.
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Coronary plaque and stenosis (CTCA)
Direct visualisation of plaque type, distribution and haemodynamic significance.
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Coronary inflammation (CaRi-Heart)
Fat Attenuation Index — quantifies vascular inflammation from the CTCA dataset.
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Advanced lipids (Lp(a), ApoB)
The lipid particles that actually drive atherosclerosis, not just LDL-C.
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Red flag: severe LV dysfunction or left-main disease — urgent cardiology review
A hard finding on echo or CTCA triggers same-day escalation, not a portal message.
Next steps
What actually happens once the results are in.
The plan draws from the same set of interventions — matched to your risk, not sold as a package.
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Lifestyle prescription
Diet, activity, sleep and alcohol — dosed and reviewed like any other therapy, with defined follow-up.
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Statin ± ezetimibe
Guideline-driven LDL-C and ApoB lowering when risk crosses treatment thresholds.
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PCSK9 inhibitor if Lp(a) high
Considered when Lp(a) is markedly elevated or LDL-C remains above target on maximal oral therapy.
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Antihypertensive optimisation
ACE inhibitor, ARB, calcium-channel blocker or thiazide — titrated to target, not left at a starting dose.
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Structured cardiac rehabilitation
Supervised exercise, dietetics and behaviour change for high-risk profiles or post-event patients.
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Coronary revascularisation if indicated
Referral for angiography, PCI or CABG when CTCA shows haemodynamically significant disease.
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Cardiology follow-up
A specific follow-up interval — quarterly, biannual or annual — matched to the risk profile.
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Repeat screening at defined intervals
A pre-agreed cadence for re-imaging and bloods — not a decision to make again from scratch.
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 — general, imaging and interventional as required
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Same-visit ECG, echocardiography and phlebotomy on-site
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CT with cardiac gating and low-dose calcium-score protocols
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CaRi-Heart FAI analysis available through accredited providers
Red flags
When a heart health screen changes the pathway urgently.
Nine findings that take a routine screen out of the routine box — same-day escalation, not a scheduled follow-up.
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Severe left-main disease
Significant left-main coronary artery disease on CTCA is a same-day cardiology escalation.
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Very high calcium score
An Agatston score above 400 — and particularly above 1000 — materially reclassifies risk upwards.
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Reduced LVEF
Left-ventricular ejection fraction below 50% needs urgent cardiology work-up, not routine follow-up.
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Familial hypercholesterolaemia
Very high LDL-C with a personal or family history of premature CV disease — needs a lipid clinic, not just a statin.
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Very high Lp(a)
Lp(a) above 90 nmol/L (approximately 50 mg/dL) is an independent, largely genetic CV risk driver.
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Family sudden cardiac death
A first-degree relative with sudden cardiac death under 40 — inherited cardiac conditions must be excluded.
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Silent MI on imaging
Regional wall-motion abnormality on echo, or a fixed perfusion defect, in a patient with no known infarct.
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Uncontrolled hypertension
Persistent BP above 160/100 despite treatment — restratifies risk and demands regimen change.
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Concurrent CKD stage 3+
eGFR below 60 amplifies cardiovascular risk and changes both imaging and drug choices.
Reading your report
A heart health report can look intimidating. It isn’t.
Whatever the finding, the report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and risk factors
Your details, family history, lifestyle picture and the QRISK3 baseline that anchors the screen.
- 02 Technique
Tests performed
Which tests were done — ECG, echo, bloods, calcium score, CTCA, CaRi-Heart — with the protocols used.
- 03 Findings
Structural, functional and biochemical data
Chamber sizes, LVEF, valve function, coronary calcium and plaque burden, and the full lipid and metabolic panel.
- 04 Impression
The plan: read this first
Overall cardiovascular risk category, the specific interventions being recommended, and the review interval.
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 heart health screening.
Quick answers on what’s included, when calcium score or CTCA is right, and what CaRi-Heart actually changes.
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What’s actually included in a private heart health check in London?
A proper screen combines a consultant cardiology appointment, resting 12-lead ECG, echocardiogram, blood pressure and an advanced lipid and metabolic blood panel. The best London packages add a coronary calcium score, a CT coronary angiogram, and — through accredited centres — CaRi-Heart AI inflammation profiling; expect £800–£2,500 depending on imaging, with the full report inside a week.
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When is a coronary calcium score most useful?
It is most useful in adults at intermediate 10-year cardiovascular risk, where the result can meaningfully reclassify risk either up or down and change whether a statin is offered. It is less useful at the extremes of risk, where the treatment decision is already clear.
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When would I need a CTCA rather than a calcium score?
A CTCA is preferred when symptoms suggest coronary artery disease, when the calcium score alone would not answer the clinical question, or when direct plaque and stenosis visualisation is needed to guide treatment.
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What is CaRi-Heart and does it change my treatment?
CaRi-Heart uses the Fat Attenuation Index (FAI) around the coronary arteries — measured from the CTCA dataset — as a validated marker of coronary inflammation. It refines residual cardiovascular risk beyond calcium and plaque alone, and can escalate lifestyle and pharmacological intensity when inflammation is high.
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How much does a private heart health screening cost in London?
A core screen with ECG, echo, bloods and cardiology review is typically £650–£1,200 in our network. Adding a coronary calcium score, CTCA or CaRi-Heart analysis raises the price. We confirm a firm figure within one working day.
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How often should I repeat a heart health screening?
The interval depends on your risk profile and findings — commonly every 2–5 years for low-risk adults, and annually or more often when significant coronary disease, elevated Lp(a) or ongoing treatment titration is in play. The interval is set by the cardiologist, not the package.
Sources
Clinical sources this guide draws on.
- NICE. Cardiovascular disease: risk assessment and reduction, including lipid modification (NG238).
- European Society of Cardiology. Clinical practice guidelines.
- British Cardiovascular Society. Position statements and guidelines.
- American Heart Association. Scientific statements and guidelines.
Reviewed 2026-07-30. Next review 2027-07-30. Reading time ~6 min.
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In practice, in London
Why private heart health screening moves differently in London
With heart health screening, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. Public provision for heart health screening is competent but constrained by capacity. Private London clinics tend to have shorter diaries and longer appointment slots, so you get the same specialists with more time. For people who’ve been going round in circles with primary care, that first proper conversation is often what shifts things.
Once you’re in the private system for heart health screening, the pace picks up noticeably. Consultant slots run to time, imaging is usually available in the same building or a short walk away, and the report comes back typed and detailed. It’s the coordination that tends to feel different — one person on the other end of the phone, not a switchboard. For heart health screening specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
There are a lot of consultants in London who can technically handle heart health screening. Fewer who do it week in, week out for the exact question you’re bringing. We spend most of our time working out which is which — and being straight when a different test or a different specialist would serve you better. Everything runs to CQC, GMC and Royal College standards; the choice is about fit, not floor.
Nearby in the library