HeartFlow Analysis vs ASSURE Wearable ECG

Similar category, different focus. These tools serve overlapping but distinct needs. Comparability 60/100 Comparability is an AI-graded 0–100 score of how directly these two tools compete — higher means a more apples-to-apples comparison.
by Heartflow
VS
by Kestra Medical Technologies

AI Verdict

HeartFlow Analysis is designed for non-invasive diagnosis and management of coronary artery disease using AI-powered 3D models from CT scans. In contrast, the ASSURE Wearable ECG focuses on continuous heart rate monitoring and data collection for at-risk cardiac patients via a wearable device and remote platform. They serve different stages and types of cardiac assessment, with HeartFlow providing detailed anatomical and functional insights into CAD, and ASSURE offering ongoing physiological surveillance.

Choose HeartFlow Analysis if…

Choose HeartFlow Analysis if you require a highly accurate, non-invasive diagnostic assessment of coronary artery disease (CAD) severity and plaque characteristics. This tool is ideal for clinicians seeking to leverage AI-powered 3D models from standard CT scans to derive personalized insights, including Fractional Flow Reserve (FFRct) and detailed plaque analysis, to inform treatment strategies.

View HeartFlow Analysis →

Choose ASSURE Wearable ECG if…

Choose ASSURE Wearable ECG if your priority is continuous, long-term, and ambulatory heart rate monitoring and data collection for at-risk cardiac patients. This wearable solution is best suited for detecting intermittent cardiac events, tracking physiological trends, and enabling remote patient management through its integrated digital healthcare platform and advanced artifact filtering algorithms.

View ASSURE Wearable ECG →

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature HeartFlow Analysis ASSURE Wearable ECG
Pricing Contact vendor for pricing Unknown
Deployment Cloud-based (AWS) The ASSURE system is intended for use by a patient during their normal daily activities primarily in the home or community setting, but also hospitals, medical clinics, healthcare facilities and transport.
BAA Available Yes AI-estimated Unknown
FDA Status Cleared AI-estimated Cleared 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

ASSURE Wearable ECG

Tool B, ASSURE Wearable ECG, demonstrates a strong focus on both patient and clinician usability. Its SensorFit Garment is designed for comfort and wearability, promoting high patient compliance, and the patient app empowers users to monitor their data. For clinicians, the Kestra CareStation provides a remote patient data platform for efficient review of heart rhythm and usage data.

Clinical Value

HeartFlow Analysis

HeartFlow Analysis offers significant clinical value by providing a highly accurate, non-invasive diagnostic tool for coronary artery disease (CAD), leveraging AI and computational fluid dynamics to create personalized 3D models. This technology helps physicians confidently differentiate patients needing invasive treatment from those who can be managed medically, leading to more appropriate interventions and potentially reducing unnecessary invasive procedures. Its proven diagnostic performance and ability to change physician management make its clinical impact substantial.

Pricing & Value

HeartFlow Analysis

HeartFlow Analysis clearly outlines a fee-for-service model with established reimbursement pathways, including coverage by Medicare and most U.S. commercial payers, and dedicated Category I CPT codes. This transparency and established reimbursement significantly enhance its value proposition for healthcare providers. In contrast, ASSURE Wearable ECG only states 'contact for pricing' without providing details on reimbursement or cost-effectiveness.

Enterprise Readiness

HeartFlow Analysis

HeartFlow Analysis demonstrates superior enterprise readiness through its explicit mention of cloud-based deployment on AWS, SOC 2 Type II compliance, and HITRUST certification, indicating robust security and operational maturity. Furthermore, its comprehensive IP portfolio with over 400 patents suggests long-term viability and protection. While Tool B meets foundational compliance requirements, it lacks the detailed security certifications and intellectual property depth highlighted by Tool A.

Innovation

HeartFlow Analysis

HeartFlow Analysis represents a significant innovation by applying advanced AI, 3D modeling, and computational fluid dynamics to non-invasively assess the functional significance of coronary artery disease from standard CT scans. This approach provides unprecedented visualization and a paradigm shift in diagnostic capabilities. While ASSURE Wearable ECG offers innovative wearable technology with features like the SensorFit Garment and adaptive algorithms, HeartFlow's integration of complex AI and physics-based modeling for functional assessment from anatomical imaging is a more profound technological and diagnostic advancement in its field.

Support & Docs

ASSURE Wearable ECG

ASSURE Wearable ECG explicitly details its support structure, including the 'ASSURE Assistu00ae service' for post-event support and the provision of Kestra patient service representatives for patient fitting and training. This indicates a structured and direct approach to patient and clinician support. Although HeartFlow mentions 'Outstanding Customer Experience' and a 'structured program,' the specifics regarding direct support services or comprehensive documentation are less detailed than Tool B's offerings.

Feature-by-Feature

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

Feature HeartFlow Analysis ASSURE Wearable ECG
Name HeartFlow Analysis ASSURE Wearable ECG
Primary Function Non-invasive solution for diagnosing and managing coronary artery disease (CAD) by creating personalized 3D models of patients' coronary arteries from standard CT scans. Non-therapeutic device for continuous heart rate monitoring and data collection, integrated into their digital healthcare platform for at-risk cardiac patients.
Company HeartFlow Kestra Medical Technologies
Key Features AI-powered 3D modeling of coronary arteries, Fractional Flow Reserve derived from CT (FFRct) analysis, Plaque Analysis (quantification and characterization), Roadmapu2122 Analysis for CCTA reading, Non-invasive diagnostic assessment, Personalized patient insights, Computational Fluid Dynamics (CFD) for blood flow simulation, High diagnostic accuracy. Wearable ECG device for continuous heart rate monitoring, SensorFit Garment with non-adhesive, embedded, and cushioned ECG sensors, ASSURE Detection Algorithm with Quad Channel Processingu2122, Adaptive Patient Intelligenceu2122 for filtering motion artifacts, Automatic episode storage, Alert-based notifications, Physiologic trend data, Kestra CareStation remote patient data platform for clinician review.

Videos

Demos, reviews, and walkthroughs featuring HeartFlow Analysis and ASSURE Wearable ECG.

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Frequently Asked Questions

HeartFlow Analysis is designed to deliver a non-invasive solution for diagnosing and managing coronary artery disease (CAD) by creating personalized 3D models of patients' coronary arteries from standard CT scans. The ASSURE Wearable ECG is a non-therapeutic device for continuous heart rate monitoring and data collection, integrated into a digital healthcare platform for at-risk cardiac patients, particularly those who have completed use of a Wearable Cardioverter Defibrillator (WCD).
HeartFlow Analysis utilizes AI-powered 3D modeling of coronary arteries, Fractional Flow Reserve derived from CT (FFRct) analysis, and plaque analysis (quantification and characterization) from standard CT scans. In contrast, the ASSURE Wearable ECG provides continuous heart rate monitoring via a wearable device, offering automatic episode storage, alert-based notifications, and physiologic trend data for clinician review on the Kestra CareStation remote patient data platform.
HeartFlow Analysis has established Category I CPT codes for FFRct Analysis (75580) and AI-Enabled Quantitative Plaque Analysis (75577 for 2026), with CMS payment rates and coverage by Medicare and most U.S. commercial payers. The pricing for ASSURE Wearable ECG is available by contacting the vendor, and the provided information does not specify unique Category I CPT codes for its continuous heart rate monitoring service, though general CPT codes for mobile cardiovascular telemetry (e.g., 93228, 93229) may apply to similar services.
HeartFlow Analysis leverages AI for 3D modeling, computational fluid dynamics (CFD) for blood flow simulation, and algorithms trained using deep learning for FFRct and plaque analysis. The ASSURE Wearable ECG features an ASSURE Detection Algorithm with Quad Channel Processing and Adaptive Patient Intelligence technology designed to filter out motion artifacts for accurate heart rhythm analysis.

Backers

Who funded each tool's parent company.

HeartFlow Analysis

ASSURE Wearable ECG

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