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Direct-to-patient Ambulatory ECG Monitoring and Analysis.
Our team of UK-based Cardiac Physiologists and Healthcare Scientists delivers expert AECG interpretation and analysis to hospitals, GP practices, and independent clinicians.
Looking to insource fast, affordable, and expert-led Ambulatory ECG Monitoring?
Our new service allows clinicians to refer patients for ambulatory ECG monitoring, with devices delivered directly to the patient’s door. The monitors are then collected and returned to our expert team, who review, analyse, and report on the data. You will receive a comprehensive clinical report.
This streamlined process provides comprehensive reports without long waits, at costs lower than the NHS tariff, allowing you to diagnose and treat patients more efficiently.
We’re tackling NHS waiting times with fast, high-quality and more affordable cardiac care.
The UK faces a significant shortage of cardiac physiologists, straining the healthcare system and delaying essential services like ambulatory ECG monitoring. As of January 2025, the average wait time for an ambulatory ECG appointment in England was … weeks, with an additional … weeks for analysis. This results in a total wait time of … weeks for ECG results.
By sending AECGs directly to patients, we can help you to:
Enable Faster Diagnoses
A streamlined workflow allows for quicker diagnoses and treatment initiation, improving patient outcomes.
Free-up essential NHS resources
Improve the efficiency in cardiac services through home-based monitoring.
Minimise Unnecessary Clinical Visits
This fully remote AECG service reduces the need for in-person clinical appointments, making healthcare more accessible.
Speed Up Analysis & Reporting
Digital data transmission enables faster specialist reviews, shortening the time from test to diagnosis.
What our clients say about us…
“Xyla has been a great partner in tackling our Holter Analysis backlog. The service was easy to set up and functioned seamlessly, with consistent report turnaround times and effective triaging of urgent results. The Xyla team provided fantastic support throughout, often going above and beyond to troubleshoot any issues. They have always been friendly, approachable, and accommodating, understanding the ever-changing demands of an NHS department. I wouldn’t hesitate to recommend Xyla for Holter analysis support.”
Why choose Xyla
Trusted Cardiac Specialists
We currently have 16 UK-based Cardiac Physiologists and Healthcare Scientists, all registered with the Academy of Healthcare Science (AHCS) or the Health and Care Professions Council (HCPC). Our team are also members of the Society for Cardiac Science and Technology.
Trusted for Thousands of ECG Analyses
In 2024, we performed 6,808 ambulatory ECG analyses and 7,328 12-lead ECG analyses.
Excellence in Cardiac Diagnostics
Our team of qualified cardiac physiologists achieved an average audit score of 95% in 2024.
Meet the team
Nicole Fadden – Head of Clinical Operations (Cardiology)
As a Healthcare Scientist with 15 years of NHS experience and 5 years in the industry, Nicole holds BSE and EHRA certifications (recertified in 2024) and STP equivalence. HCPC-registered and an SCST member, she joined Xyla in 2021 as Quality Lead for Blood Pressure and ECG services. In 2023, she became Head of Clinical Operations (Cardiology), driving excellence through strategic improvements that enhance patient outcomes and efficiency.
Alice Morris – Lead ECG Physiologist
With over 16 years in the NHS, Alice is dedicated to improving patient care through clinical work, teaching, and protocol development. She began in pathology before training as a Clinical Physiologist, earning a First-Class Honours degree from Sunderland University. Specializing in cardiology, she has performed a range of tests, from ECG interpretation to transthoracic echo and pacemaker clinics. Alice holds BSE accreditation, achieved Cardiac Scientist Equivalence in 2024, and is HCPC-registered and an SCST member.
Dawn Bordonero – Analysing Physiologist
With 22 years of NHS cardiology experience, Dawn is AHCS-registered and a member of the SCST. Since joining Xyla in 2022, she has demonstrated exceptional dedication, consistently achieving audit scores above 95%, earning her a place in the Centre of Excellence category. Holding a BSc (Hons) in Clinical Physiology, she brings both academic knowledge and practical expertise to ensure high-quality cardiovascular care.
Paula Mott – Analysing Physiologist
With over 23 years of NHS experience, Paula specializes in cardiac investigations, including ECGs, Holter monitors, echocardiography, and pacemaker clinics. She holds a Higher National Certificate and a BTEC from the City of Westminster College in Medical Physics and Physiological Measurements. Fully registered with the AHCS and a member of the British Heart Rhythm Society and SCST, Paula is a trusted expert in cardiac diagnostics.
Amy Hall – Analysing Physiologist
A qualified Cardiac Physiologist from Northern Ireland, Amy holds a First-Class Honours degree in Clinical Physiology (Cardiology) from the University of Ulster. With 15+ years of NHS and private experience, she has worked at Great Ormond Street Hospital, the Civil Aviation Authority, and prestigious clinics like the London Heart Centre. Now at Xyla, she thrives as a Remote Analysing Physiologist, delivering high-quality cardiac reports with expertise and enthusiasm.
Kirsty Atkins – Analysing Physiologist
A Healthcare Scientist with a degree from the University of the West of England, Kirsty holds both the SCST Certificate and Diploma in ECG, as well as BSE Echocardiography certification. With 26 years of NHS experience, including 17 in cardiology, she is AHCS-registered and a member of SCST and BSE. Known for her meticulous attention to detail, Kirsty consistently delivers exceptional cardiovascular care.
Jake Baxter – Partnerships Executive
Jake is an experienced healthcare professional. With a focus on cardiology, he understands healthcare challenges and tailors services to meet specific needs. Managing the full process, he prioritizes patient outcomes and operational efficiency, earning clients’ trust through industry expertise, commitment to quality, and strong partnerships.
FAQs
If you are experiencing chest pain, palpitations, shortness of breath, syncope (collapses), presyncope, or dizziness your physician may want to refer you for an ambulatory ECG to assess for any heart rhythm disturbances.
Electrodes (these are like large plasters) are attached to your chest, and the device records the heart’s electrical activity. The data is then analysed by a healthcare professional (Cardiac Physiologist/Healthcare Scientist) to identify any abnormalities.
Yes, an AECG is a non-invasive and safe procedure. The device is small and portable, allowing patients to carry on with their daily activities without significant discomfort. Some patients can have mild skin irritation from the electrodes, we can supply hypersensitive electrodes for patients with sensitive skin.
You can go about normal daily activities; however, we do ask you to maintain a diary of activities and any symptoms you experience while wearing the monitor. This helps correlate the recorded heart rhythms with specific activities or symptoms.
The AECG monitor supplied will not be waterproof, so we ask you to refrain from showering or bathing while wearing the device.
After the monitoring period, the recorded data is downloaded and analysed by a healthcare professional (Cardiac Physiologist/ Healthcare Scientist). They look for any irregularities in the heart’s rhythm and write a technical report for your physician.
Generally, no special preparation is needed. However, if you do have a hairy chest you will be advised to shave it.
After your data has been analysed by a cardiac physiologist/ Healthcare professional it will be sent to the referring clinician (Your GP or Cardiologist)