Concierge cardiac monitoring · London
Remote heart rhythm monitoring, consultant-reported home ECG monitoring for palpitations, syncope and AF.
A consultant-reported remote heart rhythm monitoring service using wearable single- or multi-lead ECG patches (2, 7, 14 or 30 days). Ideal for infrequent palpitations, unexplained syncope, cryptogenic stroke and AF surveillance.
Why patients choose us
- 01
Consultant-reported
Every trace is analysed by an accredited cardiac physiologist and signed off by a consultant electrophysiologist — not an unattended algorithm.
- 02
Longer wear, better yield
From 2-day patches for daily palpitations up to 30-day recorders for infrequent events — matched to your symptom pattern.
- 03
Same-week report
Structured, actionable report within days of returning the patch — including symptom-rhythm correlation and next steps.
Key facts
Remote heart rhythm monitoring at a glance.
Six things to know before you decide whether patch-based ambulatory ECG is the right test for your symptoms.
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Definition
Consultant-reported remote ECG monitoring.
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Device
Wearable single- or multi-lead ECG patch.
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Duration options
2-, 7-, 14- or 30-day recording.
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Event capture
Auto-triggered plus patient-triggered events.
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Turnaround
Same-week consultant report.
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Complements
Holter monitor and implantable loop recorder.
Indicative pricing
What private remote heart rhythm monitoring 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 7-day patch in our network: £450–£750, with a consultant-reported result the same week.
| Service | Indicative range | Wear duration | Report turnaround |
|---|---|---|---|
| 2-day ECG patch (consultant-reported) | £350–£550 | 48 hours | Same-week |
| 7-day ECG patch (consultant-reported) | £450–£750 | 7 days | Same-week |
| 14-day ECG patch (consultant-reported) | £650–£950 | 14 days | Same-week |
| 30-day ECG patch (consultant-reported) | £850–£1,300 | 30 days | Same-week |
| ECG patch + electrophysiology consultation | £750–£1,500 | Half-day | Same-week |
| Urgent same-week fit and report | £550–£1,200 | Bespoke | 48–72 hours |
Prices vary by wear duration, single- vs multi-lead patch, and whether an electrophysiology consultation is bundled in. We come back with a firm quote within one working day.
The problem
Palpitations that never happen when you’re wired up.
Short Holter monitors miss what only occurs weekly, monthly or on exertion. A patch worn for 7, 14 or 30 days catches the events that matter — and a consultant electrophysiologist tells you what they mean.
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Palpitations that come and go?
We calibrate wear duration to the symptom rhythm — a 30-day patch for events that occur every few weeks.
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Unexplained syncope or blackout?
Longer monitoring materially raises the chance of capturing pauses, block or ventricular tachycardia.
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Cryptogenic stroke work-up?
Extended patch monitoring is the first-line search for occult paroxysmal AF after stroke.
The journey
From consultation to report — what happens, in order.
One consultant electrophysiologist from first message to report.
Phase 1 · Before the patch
Consultation and stratification
Phase 2 · While you wear it
2 to 30 days of continuous ECG
Phase 3 · After
Analysis, report and plan
- 01
Before
Cardiology consultation
Consultant electrophysiology review of your symptom history, prior traces and cardiovascular risk profile.
- 02
Before
Symptom and risk stratification
We calibrate wear duration (2, 7, 14 or 30 days) to symptom frequency, syncope risk and stroke background.
- 03
Before
Patch fitted — home or clinic
The wearable ECG patch is applied by our team or shipped for guided at-home application.
- 04
Wearing it
Continuous recording
Single- or multi-lead ECG streams continuously; the device is showerproof and near-invisible under clothing.
- 05
Wearing it
Patient event marker
You tap the device and log symptoms in a diary — palpitations, dizziness, syncope, chest tightness.
- 06
After
Automated plus consultant analysis
AI arrhythmia detection is over-read by a cardiac physiologist and a consultant electrophysiologist.
- 07
After
Structured report and plan
Symptom-rhythm correlation, arrhythmia burden and an explicit onward plan — medication, ablation or follow-on monitoring.
Typical end-to-end: 2 to 30 days of wear plus a same-week report. Urgent cases: fit within 48–72 hours.
What it shows
When remote heart rhythm monitoring is the right test.
A patch monitor answers a specific question — what is your rhythm doing at the moment you feel unwell, and across days or weeks of ordinary life. These are the diagnoses we see most.
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Atrial fibrillation (paroxysmal)
The commonest catch — intermittent AF that a short Holter frequently misses.
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Atrial flutter
Typical and atypical flutter, with rate control and ablation implications.
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SVT (AVNRT / AVRT)
Regular narrow-complex tachycardias, often symptom-triggered.
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Non-sustained ventricular tachycardia
Short VT runs — a prompt for structural imaging and cardiology review.
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Sinus node dysfunction
Inappropriate sinus bradycardia, pauses or tachy-brady patterns.
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Heart block
First-, second- and third-degree AV block, including nocturnal Mobitz II.
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Symptom-rhythm correlation
The diary marker anchors what the rhythm was doing at the moment you felt unwell.
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Red flag: high-burden VT — urgent cardiology
Sustained or high-burden ventricular tachycardia is a same-day cardiology escalation.
Treatment options
What the report can lead to — treatment pathways at a glance.
A rhythm diagnosis is only the start. These are the eight pathways your consultant electrophysiologist may consider once the report is in.
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Rate control
Beta-blocker or non-dihydropyridine calcium-channel blocker as first-line rate control in AF.
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Rhythm control
Flecainide or amiodarone where sinus rhythm restoration is the goal, guided by structural findings.
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Direct current cardioversion
Elective DCCV for persistent AF or flutter after adequate anticoagulation.
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Catheter ablation
Pulmonary vein isolation for AF, cavotricuspid isthmus ablation for typical flutter, SVT ablation.
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Anticoagulation (CHA₂DS₂-VASc)
DOAC or warfarin decisions driven by stroke-risk scoring, not by AF burden alone.
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Left atrial appendage occlusion
For patients in whom long-term anticoagulation is contraindicated or poorly tolerated.
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Structured cardiac follow-up
Scheduled electrophysiology review, symptom diary and repeat monitoring where indicated.
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Multi-disciplinary team review
Cardiology, electrophysiology and stroke-team input for cryptogenic stroke and complex cases.
Our vetted London network
A small panel of electrophysiologists, 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 electrophysiologist reporting on every study
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FDA/CE-marked single- or multi-lead ECG patches with validated arrhythmia detection
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Symptom-rhythm correlation via patient event marker and diary
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Onward ablation, device or stroke-team pathway where the report demands it
Red flags
Rhythm findings that do not wait for a private slot.
Most patch findings are reassuring — a small number are not. If any of these appear on your trace, or you develop symptoms during wear, the report is escalated the same day.
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Sustained ventricular tachycardia
Ventricular tachycardia lasting more than 30 seconds — urgent cardiology, not a private slot to wait for.
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Torsades de pointes
Polymorphic VT on a long QT background — 999, immediate secondary care.
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Complete heart block
Third-degree AV block with symptoms — same-day pacing assessment.
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Wide-complex tachycardia
Any sustained wide-complex tachycardia is treated as VT until proven otherwise.
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Pre-excited atrial fibrillation
AF in Wolff-Parkinson-White — urgent electrophysiology review; avoid AV-nodal blockers.
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Long QT with syncope
Corrected QT prolongation combined with syncope — same-day cardiology and drug review.
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Brugada pattern
Type 1 Brugada pattern needs consultant electrophysiology review, especially with syncope or family history.
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Post-ablation atrial tachycardia
New atypical atrial tachycardia after AF ablation — early electrophysiology review.
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Symptomatic bradycardia < 40 bpm
Persistent symptomatic bradycardia below 40 bpm warrants same-day cardiology assessment.
Reading your report
A rhythm-monitoring 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 symptom diary
Your details, wear duration, and the symptom log that anchors the interpretation.
- 02 Technique
Device, leads and analysable time
Which patch was used, how many leads, and the percentage of interpretable recording.
- 03 Findings
Rhythm summary and arrhythmia burden
Predominant rhythm, PACs, PVCs, AF/flutter burden, pause durations and heart-rate distribution.
- 04 Impression
Conclusion and next step
A clear diagnosis where possible, symptom-rhythm correlation, and the concrete onward plan.
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 remote heart rhythm monitoring.
Quick answers on wear duration, showering, referrals, how patch monitoring compares to Holter and implantable loop recorders.
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How is a remote heart rhythm monitor different from a Holter?
A traditional Holter is a wired 24- or 48-hour recorder. A remote heart rhythm monitor is a small adhesive patch worn for 2 up to 30 days, with automated arrhythmia detection and consultant over-read — so infrequent events are far more likely to be captured.
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How long should I wear the patch for?
Daily palpitations — 2 to 7 days is often enough. Weekly or less frequent symptoms, unexplained syncope, cryptogenic stroke or AF surveillance — 14 to 30 days materially raises the diagnostic yield.
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Can I shower, sleep and exercise with the patch on?
Yes. The patch is showerproof and designed for continuous wear, including sleep and moderate exercise. Only prolonged submersion — swimming, baths — needs to be avoided.
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What happens if the patch picks up something serious?
Automated detection flags high-risk rhythms — sustained VT, high-grade heart block, long pauses. Our team will contact you and your consultant electrophysiologist directly, and where appropriate route you to the acute cardiology or stroke team the same day.
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Is this the same as an implantable loop recorder?
No. An implantable loop recorder (ILR) is a small device inserted under the skin for up to 3 years — reserved for very infrequent, high-consequence events like unexplained syncope. Patch monitoring is the first-line, non-invasive test.
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Do I need a referral?
A consultant electrophysiology review is part of the pathway, so a referral is arranged as part of the service — either from your GP or via our private consultant network.
Sources
Guidelines this page draws on.
- European Society of Cardiology. Guidelines for the diagnosis and management of atrial fibrillation.
- NICE. Atrial fibrillation: diagnosis and management (NG196).
- Heart Rhythm Society. Clinical guidance and consensus statements.
- American Heart Association. Cardiac rhythm and arrhythmia resources.
Last reviewed 2026-07-30. Next review 2027-07-30. Reading time ~5 minutes.
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In practice, in London
The London pathway for remote heart rhythm monitoring
With remote heart rhythm monitoring, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. Public provision for remote heart rhythm monitoring 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.
A private remote heart rhythm monitoring pathway in London usually looks like this: an initial consultation, any diagnostics booked at a nearby facility (most within Zone 1 or 2), and a written report sent to you and your GP within a few days. The consultants we work with hold NHS posts alongside their private lists, which keeps the standards consistent across both settings. For remote heart rhythm monitoring specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Fit matters more than people expect. For remote heart rhythm monitoring, the right consultant depends on what you actually need — a second opinion, a definitive diagnosis, a bridge into treatment, or reassurance that nothing’s being missed. We match on that, not on who has the biggest brochure. If a test isn’t the right next step, we’ll say so before you book anything.