Concierge cardiac imaging · London
MyoStrain heart assessment, rapid cardiac MRI strain analysis for early cardiac dysfunction.
MyoStrain is a fast cardiac MRI strain analysis that detects subclinical cardiac dysfunction — often years before conventional LVEF changes. Used in cardio-oncology monitoring, cardiomyopathy screening and heart-failure risk stratification.
Why patients choose us
- 01
The right hands
We route you to a consultant cardiologist working with a cardiac MRI radiologist — the pairing that reads strain properly.
- 02
Often answers same-day
MyoStrain is a 5-minute add-on to your cardiac MRI, with findings frequently discussed the same day.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private MyoStrain assessment 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 MyoStrain add-on in our network: £350–£600, with reports typically within 24–48 hours.
| Scan type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| MyoStrain add-on to cardiac MRI | £350–£600 | 5 min add-on | 24–48 hrs |
| Cardiac MRI + MyoStrain (bundled) | £950–£1,600 | 45 min | 24–48 hrs |
| Cardio-oncology baseline (MRI + MyoStrain + cardiology) | £1,200–£1,800 | 75 min | Same visit |
| Serial MyoStrain follow-up scan | £800–£1,300 | 40 min | 24–48 hrs |
| Cardiomyopathy work-up (MRI + MyoStrain + genetics referral) | £1,500–£2,400 | Half-day | Same-week |
| Urgent same-week study | £1,100–£1,900 | Half-day | Same-week |
Prices vary by clinic, whether MyoStrain is bundled with a full cardiac MRI, and whether a same-visit consultant cardiology opinion is included. We come back with a firm quote within one working day.
The problem
Ejection fraction misses early damage. Strain doesn’t.
By the time LVEF drops, the muscle has often been dysfunctional for months. MyoStrain reads the deformation itself — a more sensitive, quantitative early-warning signal — reported by a cardiologist and MRI radiologist together.
-
On cancer therapy?
We arrange baseline and serial MyoStrain to protect the heart through chemotherapy.
-
Family history of cardiomyopathy?
We build a quantitative baseline you and your relatives can compare against.
-
Heart-failure risk work-up?
We fold MyoStrain into a rounded assessment — cardiac MRI, bloods, ECG.
The journey
From consultation to report — what happens, in order.
One clinician from first message to report — often within days.
Phase 1 · Before your scan
Concierge, off-stage for you
Phase 2 · On the day
~45 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
Cardiology consultation
A short, confidential form. Symptoms, chemotherapy history, family history, referrals or insurer if you have them.
- 02
Before
Standard cardiac MRI acquired
The core cardiac MRI is performed first — cine, T1/T2 mapping and late gadolinium as clinically indicated.
- 03
Before
MyoStrain sequences added
A short strain acquisition — around five extra minutes at the end of the standard scan.
- 04
On the day
Strain analysis performed
Global longitudinal and circumferential strain are computed segment by segment on the workstation.
- 05
On the day
Report generated
A structured report — GLS, regional strain, comparisons to prior studies where relevant.
- 06
After
Cardiology review
A consultant cardiologist reads the report against your clinical picture and prior imaging.
- 07
After
Structured follow-up
Cardio-oncology pathway, heart-failure clinic, cardiomyopathy MDT or serial MyoStrain — whichever fits.
Typical end-to-end: 3–7 days. Urgent cases: same week.
What it shows
When MyoStrain is the right test.
MyoStrain answers a specific question — is the heart muscle deforming normally, and if not, where and how much. These are the presentations we see most.
-
Global longitudinal strain (GLS)
The single most sensitive marker of early left-ventricular dysfunction.
-
Regional strain abnormalities
Segment-by-segment map — the earliest sign of localised injury or ischaemia.
-
Subclinical cardiotoxicity (chemo)
Detects chemotherapy-related dysfunction before LVEF changes appear.
-
Cardiomyopathy screening
Baseline strain profile for hypertrophic, dilated and genetic cardiomyopathies.
-
Amyloid infiltration pattern
Characteristic apical-sparing strain signature suggestive of cardiac amyloid.
-
Response to heart-failure therapy
Objective marker of recovery on optimised medical therapy.
-
Baseline for serial monitoring
A quantitative starting point against which every future scan is compared.
-
Red flag: significant GLS reduction — urgent cardiology review
A drop in GLS beyond threshold warrants same-week cardiology assessment.
After the scan
What can be done with the answer.
The onward pathways we most often set up on the back of a MyoStrain report.
-
Optimise heart-failure therapy
Objective strain data to titrate ACE inhibitors, beta-blockers and SGLT2 agents.
-
Cardio-oncology pathway
Baseline and serial MyoStrain alongside your oncology team to protect the heart through treatment.
-
Cardiomyopathy MDT
A multi-disciplinary team review — cardiology, imaging and genetics working from the same dataset.
-
Genetic counselling
Referral to inherited cardiac conditions clinic when a familial cardiomyopathy is suspected.
-
Anti-amyloid therapy (ATTR)
Where an amyloid strain pattern is identified, onward pathway for confirmatory work-up and therapy.
-
Cardiac rehabilitation
Structured exercise and lifestyle programme, calibrated to your strain baseline.
-
Repeat MyoStrain monitoring
Scheduled follow-up scans — three, six or twelve months — with quantitative comparison.
-
Structured cardiology follow-up
A named consultant, a written plan and a clear pathway rather than a one-off scan.
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.
-
Consultant cardiologists and cardiac MRI radiologists reporting together
-
MyoStrain-capable cardiac MRI scanners (1.5T or 3T with validated sequences)
-
Structured report with GLS, circumferential strain and regional segment maps
-
Onward cardio-oncology, heart-failure or cardiomyopathy MDT pathway when needed
Safety and eligibility
Non-invasive, radiation-free, five minutes added.
MyoStrain is exceptionally safe — the practical points are metallic-implant screening, claustrophobia and knowing what strain does and doesn’t rule out.
-
Painless, radiation-free
MyoStrain is part of a cardiac MRI — magnetic fields and radio waves, no ionising radiation.
-
Five extra minutes
The strain sequences add roughly five minutes to a standard cardiac MRI.
-
Position on the couch
You lie on your back with an ECG lead and a chest coil — the whole preparation.
-
No fasting for most protocols
Eat, drink and take medication as normal unless the base MRI protocol specifies otherwise.
-
Metallic implants — screening
Pacemakers, defibrillators and some older implants need pre-scan MRI-safety review.
-
Claustrophobia is manageable
A wide-bore scanner, headphones and a hand-held call button — say if this is a concern.
-
A normal strain is not the whole picture
Normal GLS doesn’t exclude every cardiac diagnosis — clinical context still leads.
-
Contrast sometimes used
The base cardiac MRI may need gadolinium contrast for tissue characterisation — MyoStrain itself does not.
-
Bring prior imaging and letters
Comparison against previous echo, MRI or oncology letters materially sharpens the report.
Reading your report
A MyoStrain 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 clinical context
Your details, the reason for the scan, and the cardiac risk profile that shapes interpretation.
- 02 Technique
Sequences and analysis method
Which cardiac MRI sequences were acquired and how the strain analysis was performed.
- 03 Findings
GLS, regional strain, structural data
Global longitudinal strain, circumferential strain, segment map and structural cardiac MRI findings.
- 04 Impression
The conclusion: read this first
Normal, subclinical dysfunction, or overt dysfunction — with the concrete next step.
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 MyoStrain.
Quick answers on cost, referrals, cardio-oncology monitoring, and how strain compares to ejection fraction.
-
What does MyoStrain actually measure?
MyoStrain is a rapid cardiac MRI strain analysis. It measures how much the heart muscle deforms with each beat — quantified as global longitudinal strain (GLS) and circumferential strain, at both whole-heart and segmental level. It is often abnormal before ejection fraction (LVEF) drops.
-
Why is strain more sensitive than ejection fraction?
LVEF measures volume change; strain measures muscle deformation. Muscle fibres shorten abnormally long before the chamber empties less, so a fall in GLS often precedes a fall in LVEF by months or years — especially useful in chemotherapy and cardiomyopathy monitoring.
-
How much does MyoStrain cost privately in London?
A MyoStrain add-on to an existing cardiac MRI is typically £350–£600 in our network; a bundled cardiac MRI plus MyoStrain runs £950–£1,600. We confirm a firm figure within one working day.
-
Do I need a referral?
Most clinics require a cardiology referral for cardiac MRI with MyoStrain. We can arrange a fast-track consultant cardiology consultation to generate the referral.
-
I’m starting chemotherapy — should I have a baseline MyoStrain?
For anthracycline, trastuzumab and some newer cancer therapies, a baseline strain study is increasingly the standard of care. It gives your oncology team an objective anchor and detects cardiotoxicity early.
-
How quickly will I get results?
Findings can often be discussed the same day, with the formal written report from the reporting consultants within 24–48 hours.
Related tests
Looking for a different test?
-
Cardiac MRI
The core cardiac MRI study MyoStrain sits inside.
Learn more -
Heart imaging
The full menu of private cardiac imaging pathways.
Learn more -
Cardiac stress testing
Exercise and pharmacologic stress imaging for ischaemia.
Learn more -
All tests
Browse every test and procedure we arrange.
Learn more -
Hypertension
Related condition guide.
Learn more -
Atrial Fibrillation
Related condition guide.
Learn more -
Coronary Angioplasty
Related treatment option.
Learn more -
Coronary Artery Disease Treatment
Related treatment option.
Learn more
In practice, in London
Where myostrain heart assessment sits in a private London pathway
With myostrain heart assessment, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. Waiting lists on the NHS for myostrain heart assessment vary widely by borough and by how the GP letter reads. Privately in London, we can normally offer a slot inside the same week, sometimes within 48 hours if there’s a cancellation. The difference isn’t clinical quality — the consultants are frequently the same faces you’d see on the NHS — it’s the calendar.
In practice, a private myostrain heart assessment appointment in London means a named consultant, a proper hour in the room (or the equivalent on a video call), and a report you can actually read. Most of the imaging suites and endoscopy units we use sit within a mile of Harley Street or in Chelsea and Fulham, and turnaround on findings is measured in days, not weeks. For myostrain heart assessment specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Where a good concierge earns its keep is in the matching. There are dozens of consultants in London who see myostrain heart assessment — but not all of them are the right fit for every case. We narrow it down based on subspecialty, insurer coverage, the specific question being asked, and whether continuity into treatment matters. The right first appointment saves you from repeating yourself later.
Nearby in the library