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Tests & diagnostics

Post-COVID cardiac checks

Cardiac assessment after COVID-19 - who needs testing for palpitations, chest pain or exercise intolerance, and which tests are useful.

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At a glance

  • Preparation

    Note your symptom timeline since the infection, resting heart rate trends from any wearable, and how symptoms respond to standing and exertion.

  • What happens during the test

    Assessment typically includes consultation, ECG, troponin and NT-proBNP bloods, and echocardiography, with cardiac MRI reserved for suspected myocarditis and a standing test where POTS is possible.

  • Results timeline

    Bloods and ECG report within a day; the full assessment generally concludes within two weeks.

  • Specialist follow-up

    A cardiologist confirms or excludes myocarditis, pericarditis and dysautonomia, and advises on a safe, graded return to exercise.

What this test is and when it is recommended

Most people recover from COVID-19 without heart problems, but a minority experience ongoing palpitations, chest pain, inappropriate tachycardia or striking exercise intolerance. True myocarditis is uncommon; more frequent findings are postural tachycardia syndromes and deconditioning, which need very different management. Testing is targeted at symptoms rather than screening everyone - and athletes returning to sport after significant illness merit a structured assessment first.

How to access it

Post-COVID cardiac assessment is available via GP referral or as a directly booked self-pay cardiology review. Where NHS diagnostic waits are frequently lengthy, private slots are usually offered within days to roughly two weeks. Pricing varies by provider.

Frequently asked

Common questions about Post-COVID cardiac checks.

Quick, plain-English answers to what people ask us most.

  • What is Post-COVID cardiac checks?

    Post-COVID cardiac checks is a blood test that measures a specific substance or marker in your blood, giving your doctor useful information about how a particular system in your body is functioning. It is one of many tools used alongside your symptoms and history to build a fuller clinical picture. Your doctor can explain exactly why it is relevant in your case.

  • Why would a doctor order Post-COVID cardiac checks?

    This test is typically requested to investigate specific symptoms, monitor an existing condition, or check for a deficiency or imbalance that could explain how you are feeling. It may also be used as part of a broader panel of related tests rather than in isolation. The result helps guide whether further tests, treatment, or simple monitoring is appropriate.

  • Do I need to prepare for this test?

    Some blood tests require fasting, a specific time of day, or pausing certain medications or supplements beforehand, while others need no special preparation at all. You will usually be told what applies to your specific test when it is booked. If you are unsure, it is worth checking with the clinic or lab in advance.

  • What happens during the test?

    A small blood sample is taken, usually from a vein in your arm, in a process that takes only a few minutes. It is generally straightforward and similar to any other routine blood draw. You can normally return to your usual activities straight afterwards.

  • Does this test hurt or carry any risks?

    A standard blood draw involves brief discomfort from the needle but is otherwise low-risk. Minor bruising at the site is the most common side effect and usually settles quickly. Let the person taking your sample know if you have a needle phobia or have had problems with blood tests before, as they can help make it more comfortable.

  • How long do results take?

    Results are typically available within a few days, though turnaround can vary depending on the specific test and laboratory used. You will usually be told when and how to expect your results at the time of testing. More specialised tests may occasionally take longer.

  • What do abnormal results mean, and what happens next?

    An abnormal result can have several possible explanations, from common and benign causes to conditions that need further assessment, and is best interpreted by a doctor alongside your symptoms and history. Depending on the finding, next steps might include repeating the test, further investigation, or referral to a specialist. Try not to draw firm conclusions from a number alone before speaking to a clinician.

  • Is this test available on the NHS, or is it better to go private?

    This test can often be arranged privately within days, with results reviewed by a specialist, whereas routine NHS access may depend on your GP agreeing it is clinically indicated and can involve a longer wait. Cost for private testing varies by provider. Many people choose the private route for speed and convenience, particularly if they are self-funding for reassurance rather than an urgent clinical concern.

  • Is this test accurate and reliable?

    Blood tests like this are well established and generally reliable when carried out by an accredited laboratory. Results can occasionally be affected by factors such as timing, recent illness, medication, or hydration, which is why doctors interpret a single result in context rather than in isolation. If a result seems unexpected, repeating the test is sometimes recommended.

  • How do I book this test privately, and how quickly can I be seen?

    You can typically book privately with or without a GP referral, and appointments, including blood draw and results review, are often available within a few days. A doctor will explain what your result means and advise on any next steps.