Eko Murmur Analysis Software (EMAS) vs Zio AT ECG Monitoring System

Similar category, different focus. These tools serve overlapping but distinct needs. Comparability 65/100 Comparability is an AI-graded 0–100 score of how directly these two tools compete — higher means a more apples-to-apples comparison.
VS
by iRhythm Technologies, Inc.

AI Verdict

Tool A (Eko Murmur Analysis Software) focuses on AI-powered detection and differentiation of heart murmurs using digital stethoscopes and heart sound analysis. In contrast, Tool B (Zio AT ECG Monitoring System) provides continuous, long-term ECG monitoring via a wearable patch for arrhythmia detection. While both are FDA-cleared cardiology AI tools, they address different diagnostic needs and utilize distinct data acquisition methods.

Choose Eko Murmur Analysis Software (EMAS) if…

Choose Eko Murmur Analysis Software (EMAS) if your primary need is real-time, AI-powered clinical decision support for detecting and differentiating heart murmurs during a patient examination. This tool is ideal for clinicians performing initial screenings or follow-ups where the focus is on assessing heart sounds for potential structural heart disease in both adult and pediatric populations.

View Eko Murmur Analysis Software (EMAS) →

Choose Zio AT ECG Monitoring System if…

Choose Zio AT ECG Monitoring System if you require continuous, long-term ECG monitoring to detect transient or asymptomatic cardiac arrhythmias over an extended period. This system is best suited for patients experiencing intermittent symptoms or those at risk for arrhythmias that may not be captured during a standard in-office ECG or shorter monitoring durations.

View Zio AT ECG Monitoring System →

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Eko Murmur Analysis Software (EMAS) Zio AT ECG Monitoring System
Pricing Starts at $119.99 per year for eko+ membership; enterprise solutions require contacting sales. Contact for pricing
Deployment Cloud-based, Mobile App Cloud-based (data analytics and clinician portal)
BAA Available Yes AI-estimated Yes AI-estimated
FDA Status Cleared AI-estimated Cleared AI-estimated
HIPAA Yes AI-estimated Yes AI-estimated

Head-to-Head

AI-generated assessment across six dimensions based on each tool's documented features and compliance posture. Grounded in public data — not a substitute for hands-on evaluation.

Usability

Eko Murmur Analysis Software (EMAS)

Tool A (EMAS) integrates AI directly into a familiar clinical workflow with a digital stethoscope and mobile app, offering immediate analysis and easy sharing. Tool B (Zio AT) involves a multi-component system with a wearable patch, gateway, and separate clinician/patient apps, which, while comprehensive, introduces more components and steps for the user to manage.

Clinical Value

Zio AT ECG Monitoring System

Tool A provides point-of-care decision support for murmur detection, aiding in early diagnosis of structural heart disease. Tool B offers continuous, long-term (up to 14 days) arrhythmia detection, including asymptomatic events, addressing a critical need for diagnosing intermittent cardiac conditions that might otherwise be missed. The ability to capture elusive, asymptomatic events over an extended period provides a distinct and high clinical value for arrhythmia diagnosis.

Pricing & Value

Eko Murmur Analysis Software (EMAS)

Tool A offers a transparent pricing model with a free basic AI analysis tier and clearly defined paid subscriptions for advanced features. Tool B's pricing is not publicly disclosed, requiring direct contact, which makes it challenging for potential users to assess its value proposition upfront.

Enterprise Readiness

Zio AT ECG Monitoring System

Both tools are FDA-cleared, HIPAA compliant, and offer BAAs, indicating strong foundational readiness. However, Tool B's dedicated ZioSuite clinician portal for patient management and report interpretation suggests a more integrated and scalable workflow for managing a larger patient population compared to Tool A's EHR-compatible PDF reports.

Innovation

Zio AT ECG Monitoring System

Tool A innovates by embedding AI-powered murmur differentiation into a digital stethoscope, enhancing traditional physical examination with real-time decision support. Tool B demonstrates significant innovation through its wearable, continuous (up to 14 days) ECG monitoring system with real-time data transmission and a deep-learned AI algorithm for comprehensive arrhythmia detection, addressing the diagnostic challenge of intermittent cardiac events more comprehensively.

Support & Docs

Tie

Both Eko Devices and iRhythm Technologies provide standard support resources on their websites, including FAQs, user manuals, and contact information. Without more specific details on the depth, responsiveness, or quality of these resources, it is difficult to definitively declare a winner.

Feature-by-Feature

Detail beyond the Quick Comparison summary. For pricing, deployment, BAA, FDA, and HIPAA see the Overview tab.

Feature Eko Murmur Analysis Software (EMAS) Zio AT ECG Monitoring System
Name Eko Murmur Analysis Software (EMAS) Zio AT ECG Monitoring System
Company Eko Devices iRhythm Technologies, Inc.
Primary Function Detect and differentiate heart murmurs, providing clinical decision support for early detection of heart and lung disease. Continuous, AI-powered ECG monitoring for long-term arrhythmia detection and comprehensive reporting.
Key AI Capability FDA-cleared AI for murmur detection; differentiates innocent and structural heart murmurs. FDA-cleared deep-learned AI algorithm (ZEUS System) for arrhythmia detection.
Target Patient Population Adult and pediatric patients Not specified

Videos

Demos, reviews, and walkthroughs featuring Eko Murmur Analysis Software (EMAS) and Zio AT ECG Monitoring System.

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Frequently Asked Questions

Eko Murmur Analysis Software (EMAS) is designed for the early detection and differentiation of heart murmurs, including innocent and structural murmurs, in adult and pediatric patients, providing clinical decision support. The Zio AT ECG Monitoring System focuses on continuous, AI-powered ECG monitoring for long-term arrhythmia detection, identifying both symptomatic and asymptomatic cardiac events.
EMAS integrates with Eko digital stethoscopes (such as CORE 500, DUO, CORE) to analyze heart sound (PCG) and optional ECG data. The Zio AT system utilizes a wearable Zio AT patch for continuous ECG recording, with a wireless gateway for real-time data transmission.
EMAS is intended for use on both adult and pediatric patients for murmur detection. The Zio AT ECG Monitoring System is indicated for continuous, long-term monitoring of patients 18 years or older who may be asymptomatic or experience transient symptoms like palpitations or dizziness.
EMAS generates PDF reports that are EHR compatible, displaying analysis results such as murmur detection, timing, and character (innocent or structural). The Zio AT system provides comprehensive end-of-wear reports for clinicians, with data reviewed by certified cardiographic technicians and accessible via the ZioSuiteu00ae clinician portal.
EMAS provides point-in-time or short-duration recordings for murmur analysis, with results displayed in the mobile application in less than 10 seconds after a recording of at least 5 seconds. The Zio AT system offers continuous, uninterrupted ECG recording for up to 14 days.
EMAS is relevant to Cardiology, Internal Medicine, and Pediatrics due to its focus on heart murmur detection in a broad age range. The Zio AT ECG Monitoring System is primarily relevant to Cardiology, focusing on long-term arrhythmia detection and management.

Backers

Who funded each tool's parent company.

Eko Murmur Analysis Software (EMAS)

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