Concierge cardiology · London
Private pacemaker & ICD check in London, by a BHRS-accredited cardiac physiologist.
A calm, thorough device check by an accredited cardiac physiologist — in-person or remote — with same-day cardiology if anything needs it.
Why patients choose us
- 01
BHRS-accredited physiologists
Every check in our network is run by a British Heart Rhythm Society-accredited cardiac physiologist.
- 02
Every major manufacturer
Medtronic, Abbott, Boston Scientific, Biotronik and Microport programmers on site.
- 03
Same-day cardiology if needed
If anything on the interrogation needs a doctor’s eye, we get one the same visit.
Indicative pricing
What a private pacemaker or ICD check costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
Pacemaker check in our network: £180-£350; ICD interrogation £220-£400.
| Check type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| In-person pacemaker check | £180–£350 | 30 min | Same visit |
| ICD interrogation | £220–£400 | 30 min | Same visit |
| CRT check | £280–£500 | 45 min | Same visit |
| Remote monitoring set-up | £250–£500 | 30 min | Same visit |
| ILR interrogation | £180–£350 | 20 min | Same visit |
| MRI-conditional check pre-scan | £200–£400 | 30 min | Same visit |
Prices vary by clinic, device type, and whether reprogramming or remote set-up is included. We come back with a firm quote within one working day.
The problem
A device check is only as good as the physiologist and the programmer.
Not every clinic has the right manufacturer’s programmer on the day, and not every operator is BHRS-accredited. That’s the entire job — matching your device to a physiologist and a programmer that fit. That is what we get right.
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Not sure which manufacturer?
Your device card tells us — and we book a clinic with the right programmer on the day.
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Had a shock and worried?
Same-day interrogation with cardiology on hand if anything looks off.
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MRI booked?
We arrange pre- and post-scan checks so the scan can go ahead safely.
The journey
From enquiry to report - what happens, in order.
One clinician from first message to explained result - most patients are seen within 1-2 working days.
Phase 1 · Before your check
Concierge, off-stage for you
Phase 2 · On the day
30-45 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Device type, symptoms, timeline, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: which check, which clinic, indicative price. If it isn’t the right step, we say so.
- 03
Before
We arrange the appointment
Often same or next day, including evenings and Saturdays. Insurer pre-authorisation handled.
- 04
On the day
Arrival and preparation
Bring your device card. You stay dressed; the programmer wand sits over your device.
- 05
On the day
The interrogation
A 30-45 minute check of battery, leads, arrhythmia log and any therapy delivered. Reprogramming if needed.
- 06
On the day
Straight home
No recovery time. Drive, eat and work as normal.
- 07
After
Report and next steps
Physiologist report the same day, with cardiologist sign-off. We route it to your GP or consultant.
Typical end-to-end: 1-2 days. Urgent cases: same day.
What it shows
Match the check to why you’re here.
Routine surveillance, symptom-driven interrogation, first follow-up after implant, or pre-MRI safety — the reason changes what we look at.
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Routine 6-12 month check
Scheduled surveillance of battery, leads and stored events.
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Symptomatic patient
Palpitations, syncope or shocks — interrogate for the cause.
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New device follow-up (6-week)
First check after implant to confirm leads and thresholds are stable.
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Battery-life check
Estimated remaining longevity and elective-replacement indicator.
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Pre-MRI safety check
Programming to MRI-safe mode before a scan, and back afterwards.
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Mode reprogramming
Rate response, upper/lower limits and pacing mode adjustment.
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Remote-monitoring alerts
Review of transmitted alerts and confirmation the link is working.
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Red flag: repeated ICD shocks
999 or same-day cardiac review — do not wait for a routine slot.
Check types
Not all device checks are the same.
What each option on your referral is actually for.
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Pacemaker check
Battery, lead impedances, sensing and pacing thresholds, stored events.
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ICD interrogation
Full pacemaker check plus therapy history — shocks, ATP and any inappropriate therapy.
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CRT check
Biventricular device with attention to left-ventricular lead capture and pacing percentage.
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Loop recorder
Download of implantable loop recorder to correlate symptoms with arrhythmia.
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Pre-MRI conditional check
Confirms device is MRI-conditional and programmes safe mode for the scan.
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Remote monitoring
Set-up of home transmitter and review of alerts between visits.
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Device optimisation
AV and VV delay adjustment, especially in CRT, to improve response.
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Post-shock evaluation
Urgent interrogation after any ICD therapy to establish appropriateness and next steps.
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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BHRS-accredited cardiac physiologists
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Every major manufacturer supported (Medtronic, Abbott, Boston Scientific, Biotronik, Microport)
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Same-day cardiology if needed
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MRI-conditional certification
Safety and eligibility
Non-invasive, but not without rules.
A device check itself is entirely non-invasive. The practical points are around MRIs, ICD shocks and everyday life with a device.
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Non-invasive
The programmer wand sits over your device — nothing goes into your body.
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No injections or radiation
No needles, no contrast, no X-rays.
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30-45 minutes
Most in-person checks take about half an hour; CRT a little longer.
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Bring your device card
It tells the physiologist the manufacturer and model, and speeds everything up.
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Remote monitoring
Home transmissions can replace some in-person visits — we set it up if you don’t have it.
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Repeated ICD shocks are a red flag
One shock: same-day review. Repeated shocks: 999 or nearest emergency department.
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Driving rules post-shock
DVLA rules vary — check with your cardiologist before returning to the wheel.
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MRI-safe programming
Essential before and after any scan; not every device is MRI-conditional.
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Sports and magnetic fields
Contact sports, arc welding and strong magnets have specific rules — ask us.
Reading your report
A device printout can look intimidating. It isn’t.
Whether a routine surveillance visit or a post-shock interrogation, the report keeps to the same four parts.
A quiet reminder
Most checks show a stable device — reprogramming is minor and painless.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your details, indication and device
Who you are, why you were checked, and the make, model and serial number of the device.
- 02 Technique
Interrogation summary
The programmer used, tests performed, and any reprogramming carried out.
- 03 Findings
Battery, leads, arrhythmia log, therapy
Battery status and longevity, lead impedances and thresholds, stored events and any therapy delivered.
- 04 Impression
The conclusion: read this first
Normal, reprogramming carried out, replacement plan, or follow-up interval — read this first.
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 pacemaker and ICD checks.
Quick answers on cost, intervals, remote monitoring, MRI and after a shock.
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What does a device check involve?
A programmer wand is placed over your device. It reads battery status, lead performance, stored arrhythmia events and any therapy delivered. Reprogramming, if needed, is done on the spot. The whole visit takes 30-45 minutes.
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In-person or remote — which do I need?
Most patients have a mix. Remote monitoring transmits data from home between visits; an in-person check is still needed periodically and any time symptoms change. We help you set both up.
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How much does a private device check cost in London?
A pacemaker check is typically £180-£350; an ICD £220-£400; a CRT £280-£500. Remote monitoring set-up is £250-£500. We confirm a firm figure within one working day.
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How often should I have a check?
Usually every 6-12 months for a pacemaker or ICD, with a first check about six weeks after implant. Remote monitoring can extend the interval between in-person visits.
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Do I need a check before an MRI?
Yes. Even MRI-conditional devices need to be programmed to MRI-safe mode before the scan and back afterwards. We arrange the pre- and post-scan checks.
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How long does the battery last?
Typically 6-10 years for a pacemaker and 5-8 for an ICD, depending on pacing percentage and settings. The check gives an estimated remaining longevity.
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What if I’ve had a shock from my ICD?
One shock without ongoing symptoms warrants a same-day check. Repeated shocks are a medical emergency — call 999 or go to your nearest emergency department.
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Can I travel through airport security?
Yes. Show your device card to security staff and ask for a hand-search. Modern scanners are generally safe but the card avoids delay.
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Do I need to bring anything?
Your device card is the single most useful item. A list of medications and any recent letters from your cardiologist help too.
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When should I see a GP urgently?
Repeated ICD shocks, blackouts, sustained palpitations, breathlessness at rest, or wound problems around the device site all warrant urgent review.