– Extended Cardiac Monitoring

14 Day ECG Holter Monitor

Our most thorough ambulatory cardiac recording — two full weeks of continuous heart rhythm data for the most elusive symptoms.

Monitoring Duration

14 Days

Fitting

At home (posted to you)

Results

3-5 Days

price

£219

– What is a 14 Day Holter Monitor?

Two Weeks of Uninterrupted Cardiac Recording

The 14-day Holter monitor is our most comprehensive ambulatory ECG service, providing 336 continuous hours of heart rhythm data. It is the gold-standard investigation for patients whose symptoms are infrequent — occurring only once or twice per fortnight — and who have not had their symptoms captured by a shorter monitoring period.

The monitor is posted directly to your home — there’s no need to attend the clinic. You apply it yourself on the day it arrives, following the printed instructions and fitting videos provided, and replace the electrode pads at the one-week mark using the spare set included. It’s small and discreet, attaching directly to electrodes on your chest, and you wear it throughout your normal daily life while keeping a simple symptom diary of any palpitations, dizziness, breathlessness or chest discomfort, along with the time they occur.

The extended duration of the recording also makes this monitor the preferred tool for comprehensive atrial fibrillation screening, where brief or asymptomatic episodes of AF may otherwise be completely missed.

Holter image

A 14-day monitor is recommended when symptoms occur very infrequently — perhaps once or twice a fortnight — making a 7-day recording statistically insufficient to capture an event. It is also the preferred duration for comprehensive atrial fibrillation screening, where guidelines recommend extended monitoring to maximise detection of paroxysmal AF.

We provide comprehensive written instructions and everything you need for the mid-week electrode pad change. Our team is also available by phone throughout your monitoring period if you have any questions. The process is straightforward — most patients manage it with ease.

Almost all normal daily activities are fine: work, driving, walking, cycling, gym exercise and sleeping. Swimming and full-immersion bathing should be avoided, though short showers are fine — just pat the monitor dry afterwards. Sex, travel and social activities are all absolutely fine; the monitor is designed to be worn through a full, normal life.

The consultant cardiologist's report will detail the predominant rhythm throughout the recording, maximum, minimum and average heart rates, the frequency and nature of any ectopic beats, evidence of any paroxysmal arrhythmias (including AF), and critically — whether any rhythm abnormalities directly correlated with the symptoms you recorded in your diary.

Yes — with your consent, the written report is sent directly to your GP or referring consultant. If an urgent finding is identified, our clinical team will contact your GP promptly. You also receive a copy of the full report for your own records.

Your monitoring is provided in partnership with CardioScan, a CQC-registered specialist cardiac monitoring service. Your device is posted to you, and once returned, your recording is analysed by CardioScan’s cardiac physiologists and reported by our cardiology doctor. You receive a clear written report, and the whole process is overseen by our clinical team at Jenhams.

Yes. Your written report is sent directly to you and many patients also like to talk their results through in person, so we offer a private GP consultation at Jenhams to go over your report, explain what it means for you, and agree any next steps — whether that’s reassurance, starting treatment, or arranging an onward referral. You can book this when you arrange your test, or once your results are ready (from £60).

Of course. If you haven’t been referred for a specific test, the right length of monitoring depends mainly on how often your symptoms occur. If you’re unsure, we’d recommend a short private GP Telephone consultation first: one of our GPs will review your symptoms and history and recommend the most appropriate test, giving you the best chance of a clear answer first time. The consultation fee can be redeemed against the cost of your monitoring (from £20).