• Airlines and Aviation

Exercise Stress ECGs & 24 hour Holter ECGs

We perform in-house exercise stress ECG testing and 24 hour Holter ECG recording


It should be noted that the cardiological investigations (exercise ECG testing, 24 hour Holter ECG recording, echocardiography) that we arrange are generally carried out for aviation medical certification purposes, NOT for health promotion, maintenance or restoration.  VAT will therefore be charged and this will be indicated on the receipt that we issue.  Some health insurance companies may decline reimbursement of our fees, which are payable by the pilot/applicant.  Individuals for whom this is important and who wish to make use of their healthcare insurance policies should check with their insurer, and if not covered at our facility may consider cardiological investigations and consultations elsewhere in the private healthcare sector.  In this case, we will charge a fee as detailed on our Fees page for “Cardiology referral” in respect of the administration (eg writing referral letters, reviewing reports, requesting outstanding reports, onward referral to CAA Medical Department).

Exercise stress ECG testing is carried out in accordance with the Bruce protocol using a treadmill.  Appointments available Monday, Tuesday, Wednesday  and Thursday during normal office hours.  Exercise ECGs can be reported if required by our consultant cardiologist.

24 hour Holter ECGs are carried out Monday – Thursday, normally as a result of a CAA requirement. The report is usually available by close of business on the day following removal of the recorder, and is normally then sent by email to CAA Medical Dept, our cardiologist, the pilot’s AME, and the pilot, as required in the individual case.

Echocardiography is normally arranged by the cardiologist to whom a pilot is referred.

We will write the referral letter to the cardiologist if required, eg in the case of pilots requiring over-65 4-yearly cardiology review and exercise ECG, or annual cardiology review and exercise ECG in the case of pilots over 40 with diabetes, or for any other reason, eg resting ECG anomalies, history of coronary artery disease, post-ablation etc.