Cardiac Service

    24-hour Heart Rhythm Monitor (Holter)

    A 24-hour heart monitor (Holter monitor) is a portable ECG device that continuously records your heart rhythm over 24 hours while you go about your normal daily activities.

    A small wearable device records your heart rhythm continuously for 24 hours to capture intermittent arrhythmias. Clear analysis with specialist report and recommendations.

    15 mins (fitting)
    From £400

    What to Expect

    The 24-hour tape service in cardiology involves continuous monitoring of the patient's heart activity over a full day. This process typically begins with the patient being fitted with a small, portable device that records their heart's electrical activity. The patient will wear this device during their normal daily activities, allowing for a comprehensive assessment of their heart rhythms in various situations.

    During this monitoring period, the device captures data that can reveal irregularities, such as arrhythmias or other cardiovascular issues that might not be evident during a standard examination. Once the 24-hour period is complete, the data will be analysed by a cardiologist, who will interpret the results to diagnose any potential heart problems. This service is crucial for providing insights into the patient's heart health, guiding further treatment if necessary.

    Key Details

    The Procedure

    • Non-invasive — no needles or injections
    • Small adhesive electrodes placed on chest
    • Lightweight recorder worn on belt or strap
    • Fitting appointment approx. 15 minutes

    Preparation

    • No special preparation required
    • Wear loose, comfortable clothing
    • Avoid oily skin creams on the chest
    • Keep a symptom diary with times noted

    What It Detects

    • Atrial fibrillation and other arrhythmias
    • Palpitations and their cause
    • Heart pauses or slow heart rates
    • Symptom-rhythm correlation

    Frequently Asked Questions

    What is a 24-hour heart monitor (Holter monitor)?

    A Holter monitor is a small, portable device that continuously records your heart's electrical activity (ECG) over a full 24-hour period, capturing rhythms that may not appear during a short clinic ECG.

    How long does the fitting appointment take?

    The fitting takes approximately 15 minutes. Small adhesive electrodes are placed on your chest and connected to a lightweight recording device worn on a belt or strap.

    Can I shower or exercise while wearing the monitor?

    You should not shower, bathe, or swim while wearing the monitor as it must stay dry. Normal daily activities are encouraged, but avoid vigorous exercise unless specifically asked to do so by your cardiologist.

    Do I need a referral for a private Holter monitor?

    No NHS referral is required. You can book directly with us for a private 24-hour heart monitor recording.

    When will I receive my results?

    Results are typically available within a few working days. The recording is analysed by a specialist and a detailed report with recommendations is provided to you and, if desired, your GP.

    Reviewed by Dr Matthew Balerdi, Consultant Imaging Cardiologist (FRCP) — Last reviewed: April 2026

    Ready to Book Your Heart Monitor?

    No NHS referral required. Get rapid access to a private 24-hour Holter monitor with specialist analysis and reporting.