Eko Low Ejection Fraction Tool (ELEFT) vs EchoNext

Direct competitors — feature-level head-to-head below. Comparability 85/100 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 Pathway Labs

AI Verdict

Both Eko Low Ejection Fraction Tool (ELEFT) and EchoNext are FDA-cleared AI tools designed to aid in the early detection of heart conditions, particularly heart failure. ELEFT integrates with Eko digital stethoscopes to analyze ECG and heart sound recordings for low ejection fraction, while EchoNext analyzes standard 12-lead ECGs to detect a broader range of structural heart diseases, including various forms of heart failure, valve disease, and pulmonary hypertension. The primary distinction lies in ELEFT's reliance on a specialized stethoscope for data input versus EchoNext's use of standard ECGs, and EchoNext's wider scope of detectable conditions.

Choose Eko Low Ejection Fraction Tool (ELEFT) if…

Choose Eko Low Ejection Fraction Tool (ELEFT) if your clinical setting prioritizes early, non-invasive screening for heart failure risk during routine physical exams. This tool integrates with Eko digital stethoscopes, analyzing ECG and heart sound recordings to quickly identify patients with low ejection fraction (LVEF <= 40%) in about 15 seconds, making it ideal for primary care or other frontline care settings where rapid assessment and limited access to advanced diagnostics like echocardiography are factors.

View Eko Low Ejection Fraction Tool (ELEFT) →

Choose EchoNext if…

Choose EchoNext if your practice requires comprehensive AI-powered analysis of standard 12-lead ECGs to detect a broader range of hidden structural heart diseases, including heart failure, valve disease, and pulmonary hypertension. This tool is particularly well-suited for identifying high-risk conditions that might otherwise be missed, offering a non-invasive diagnostic support that can be deployed across various clinical settings, from major hospitals to community practices.

View EchoNext →

When considering AI tools for cardiac assessment, physicians have two distinct options in Eko Low Ejection Fraction Tool (ELEFT) and EchoNext, each excelling in different aspects of patient screening. ELEFT integrates directly into the physical exam, leveraging Eko digital stethoscopes to provide AI-powered detection of low ejection fraction in approximately 15 seconds. This makes ELEFT particularly well-suited for proactive, non-invasive screening during routine office visits, aiding in the early identification of heart failure risk at the point of care. It is part of Eko’s SENSORA™ platform, an enterprise solution.

In contrast, EchoNext by Pathway Labs analyzes standard 12-lead ECGs to detect a broader spectrum of hidden structural heart diseases, including heart failure, valve disease, and pulmonary hypertension. While both are FDA-cleared and non-invasive, the key practical difference lies in their input and scope: ELEFT uses stethoscope data for a focused low ejection fraction assessment, whereas EchoNext utilizes standard ECGs for a more comprehensive structural heart disease screen. EchoNext is available through the OpenEvidence clinical decision support platform and offers tiered pricing, making it accessible to a range of practices from major hospitals to community settings.

Physicians prioritizing early, rapid screening for heart failure risk during physical exams might find ELEFT more aligned with their workflow due to its integration with digital stethoscopes. Conversely, those seeking a more comprehensive AI-powered analysis of standard ECGs to uncover various structural heart diseases, including but not limited to heart failure, may find EchoNext to be the more suitable choice. The decision ultimately hinges on whether the primary need is point-of-care heart failure risk detection or broader structural heart disease screening via ECG analysis.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Eko Low Ejection Fraction Tool (ELEFT) EchoNext
Pricing Contact for pricing Starts at $600/month
Deployment Cloud-based software integrated with Eko digital stethoscopes. Available through the OpenEvidence clinical decision support platform.
BAA Available Unknown Yes AI-estimated
FDA Status 1 AI-estimated Yes AI-estimated
HIPAA Unknown 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 Low Ejection Fraction Tool (ELEFT)

Eko Low Ejection Fraction Tool (ELEFT) integrates with Eko digital stethoscopes, providing results in approximately 15 seconds during a routine physical exam. This direct integration into a familiar clinical workflow (stethoscope use) suggests a highly usable and efficient tool for frontline clinicians. EchoNext, while utilizing standard ECGs, is deployed through the OpenEvidence platform, which some reviews indicate has limitations for core bedside tasks and may be ad-supported, potentially impacting user experience.

Clinical Value

EchoNext

EchoNext analyzes standard ECGs to detect a broader range of hidden structural heart diseases, including heart failure, valve disease, and pulmonary hypertension. ELEFT focuses specifically on low ejection fraction, a key indicator of heart failure. While both are FDA-cleared and clinically validated, EchoNext's wider detection capabilities for various structural heart conditions offer greater clinical utility in a single test.

Pricing & Value

EchoNext

EchoNext provides transparent tiered pricing starting at $600/month, with discounts and add-ons clearly outlined. ELEFT's pricing is not publicly available, requiring contact with sales for details, which can be a barrier to assessing value. The clear pricing structure of EchoNext allows for easier budget planning and comparison, offering better transparency and potentially better value for organizations.

Enterprise Readiness

Eko Low Ejection Fraction Tool (ELEFT)

ELEFT is part of Eko's SENSORAu2122 platform, an enterprise solution designed for health systems to detect various cardiovascular diseases at scale. This indicates a focus on enterprise-level deployment and integration. While EchoNext is available through the OpenEvidence platform, which has a large user base, its deployment is described as being for broad access from major hospitals to community practices, without explicitly detailing enterprise-specific features or support beyond platform integration.

Innovation

Tie

Both tools demonstrate significant innovation in leveraging AI for early cardiac disease detection. ELEFT innovates by integrating AI directly into a digital stethoscope for real-time, point-of-care detection of low ejection fraction during routine physical exams. EchoNext innovates by analyzing standard ECGs to detect a wider array of hidden structural heart diseases, effectively turning a common, inexpensive test into a powerful screening tool. Both represent substantial advancements in their respective approaches to cardiac screening.

Support & Docs

Tie

Both companies are FDA-cleared and HIPAA compliant, suggesting a commitment to regulatory standards that typically include comprehensive documentation and support. However, specific details regarding the depth and accessibility of their support and documentation (e.g., online knowledge bases, dedicated support teams, training programs) are not provided in the given information or readily available through general web searches for either product. Therefore, it is difficult to definitively distinguish between the two on this dimension.

Feature-by-Feature

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

Feature Eko Low Ejection Fraction Tool (ELEFT) EchoNext
Name Eko Low Ejection Fraction Tool (ELEFT) EchoNext
Company Eko Health Pathway Labs
Description The Eko Low Ejection Fraction Tool (ELEFT) is an FDA-cleared AI algorithm that integrates with Eko digital stethoscopes to aid clinicians in the early detection of low ejection fraction, a key indicator of heart failure, during routine physical exams. EchoNext is an FDA-cleared AI tool from Pathway Labs that analyzes standard ECGs to detect hidden structural heart disease, including heart failure, valve disease, and pulmonary hypertension.
Key Features AI-powered low ejection fraction detection, Integrates with FDA-cleared Eko digital stethoscopes, Analyzes ECG and heart sound recordings, Provides results in approximately 15 seconds, Part of the SENSORAu2122 Cardiac Early Detection Platform, Cloud-based data processing and storage, Aids in early identification of heart failure risk, Non-invasive screening tool AI-powered ECG analysis, Detection of hidden structural heart disease, Identifies heart failure risk, Screens for valve disease, Detects pulmonary hypertension indicators, Utilizes standard 12-lead ECGs, FDA-cleared technology, Non-invasive diagnostic support
Specialties Cardiology, Family Medicine, Internal Medicine Cardiology, Family Medicine, Hospital Medicine, Internal Medicine

Videos

Demos, reviews, and walkthroughs featuring Eko Low Ejection Fraction Tool (ELEFT) and EchoNext.

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Frequently Asked Questions

Eko Low Ejection Fraction Tool (ELEFT) integrates with Eko digital stethoscopes, analyzing ECG and heart sound recordings during a routine physical exam and providing results in approximately 15 seconds. EchoNext, on the other hand, analyzes standard 12-lead ECGs and is available through the OpenEvidence clinical decision support platform, aiming to embed its screening output directly into tools many physicians already use.
Eko's SENSORAu2122 platform, which includes ELEFT, is an enterprise solution designed for health systems, and qualified clinical staff can capture ECG and heart sound data as part of the patient intake workflow. EchoNext partners with OpenEvidence, a clinical decision support platform, to integrate its screening output directly into common clinical workflows, suggesting a focus on broad access and seamless integration with existing systems.
ELEFT achieved a sensitivity of 74.7% and specificity of 77.5% for detecting LVEF u2264 40% in a multi-site study of 3,456 patients. EchoNext demonstrated an AUROC of 85.2% for detecting structural heart disease in an internal test set and 78-80% in external validation. In a comparison, EchoNext achieved 77% accuracy in detecting structural heart problems from ECGs, surpassing cardiologists' 64% accuracy.
ELEFT is designed to aid in the early detection of low ejection fraction (LVEF u2264 40%), a key indicator of heart failure. EchoNext analyzes standard ECGs to detect hidden structural heart disease, including heart failure, valve disease, severe hypertrophy compatible with infiltrative cardiomyopathy, and pulmonary hypertension.
ELEFT integrates with the familiar stethoscope, and its results are provided in approximately 15 seconds, suggesting a potentially quick integration into existing physical exam routines. EchoNext is available through the OpenEvidence platform, which is already used by many clinicians, potentially reducing the learning curve for those familiar with that platform.
Eko's Low EF AI has been independently validated by Imperial College London, leading to its deployment in over 100 clinics in London and Wales. EchoNext has published a case in Nature Medicine where it detected undiagnosed heart failure that led to a heart transplant, and it has been deployed silently on a large scale to identify high-risk patients.
While specific audit trail features are not detailed for ELEFT, its integration with the SENSORAu2122 platform and cloud-based data processing suggest that data and results would be recorded. For EchoNext, the integration with a clinical decision support platform like OpenEvidence would likely include mechanisms for tracking its use and the output provided to clinicians, though specific audit features are not explicitly mentioned.

Backers

Who funded each tool's parent company.

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