Eko Murmur Analysis Software (EMAS) vs ZEUS System (Zio Watch)

Similar category, different focus. These tools serve overlapping but distinct needs. Comparability 70/100 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

AI Verdict

Tool A is designed for real-time or near real-time detection and differentiation of heart murmurs using digital stethoscopes, aiding in the early identification of structural heart disease. Tool B, conversely, is a wearable system for long-term continuous cardiac monitoring, primarily focused on detecting and characterizing atrial fibrillation and other arrhythmias over an extended period. Therefore, while both are cardiology AI tools, they serve distinct diagnostic purposes and utilize different data acquisition methods.

Choose Eko Murmur Analysis Software (EMAS) if…

Choose Eko Murmur Analysis Software (EMAS) if you need an immediate, point-of-care AI-powered assessment to detect and differentiate heart murmurs during a physical examination. This tool is ideal for clinicians seeking clinical decision support for early detection of potential heart and lung disease in both adult and pediatric patients, integrating seamlessly with Eko digital stethoscopes.

View Eko Murmur Analysis Software (EMAS) →

Choose ZEUS System (Zio Watch) if…

Choose the ZEUS System (Zio Watch) if you require long-term continuous cardiac monitoring to detect and characterize intermittent arrhythmias, particularly Atrial Fibrillation (AFib). This wearable solution is best suited for patients experiencing symptoms like palpitations or syncope, or for those needing extended monitoring to capture elusive cardiac events that might be missed by shorter-duration tests.

View ZEUS System (Zio Watch) →

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Eko Murmur Analysis Software (EMAS) ZEUS System (Zio Watch)
Pricing Starts at $119.99 per year for eko+ membership; enterprise solutions require contacting sales. Contact vendor
Deployment Cloud-based, Mobile App Cloud-based system with a wearable device
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 offers a more streamlined and immediate user experience for clinicians by integrating AI directly into a familiar digital stethoscope and mobile app for real-time feedback. While Tool B provides patient convenience with a wearable, its application process, which can involve skin preparation like shaving and sanding, and potential for skin irritation, detracts from its overall usability for patients.

Clinical Value

Tie

Both tools demonstrate significant clinical value with FDA clearance and strong supporting evidence. Tool A excels in point-of-care murmur detection and differentiation, aiding in early screening for valvular heart disease. Tool B provides robust long-term, continuous monitoring for AFib and other arrhythmias, with high accuracy in detection and characterization, addressing different but equally critical aspects of cardiac care.

Pricing & Value

Eko Murmur Analysis Software (EMAS)

Tool A offers a transparent pricing model, including a free tier for basic AI analysis with the Eko App, which significantly lowers the barrier to entry and allows users to experience core functionality. In contrast, Tool B's pricing details are not publicly available, requiring users to contact the vendor, which lacks transparency.

Enterprise Readiness

ZEUS System (Zio Watch)

Tool B demonstrates stronger enterprise readiness with explicit mentions of HL7-based EHR integration, compatibility with all major EHR systems (over 450 integrations), and specific integration with Epic via the Aura network, offering discrete data for structured reporting. While Tool A also offers EHR compatibility and HIPAA compliance, Tool B's detailed integration capabilities and scalability features are more comprehensive for large-scale deployments.

Innovation

Tie

Both tools are highly innovative in their respective domains. Tool A innovates by integrating AI into digital stethoscopes for real-time, objective murmur detection at the point of care, transforming a traditional diagnostic method. Tool B offers innovation in long-term, continuous, and passive cardiac monitoring with a wearable device, providing comprehensive arrhythmia detection and characterization.

Support & Docs

Tie

Both companies provide comprehensive support and documentation. Eko offers a dedicated Help Center with user manuals, FAQs, troubleshooting guides, how-to videos, and clinical education, including specific support for enterprise customers. iRhythm also provides extensive user manuals, FAQs for both providers and patients, and direct customer care via phone.

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) ZEUS System (Zio Watch)
Product Name Eko Murmur Analysis Software (EMAS) ZEUS System (Zio Watch)
Company Eko Devices iRhythm Technologies
Primary Function Detects and differentiates heart murmurs in adult and pediatric patients, providing clinical decision support for early detection of heart and lung disease. Long-term continuous cardiac monitoring to detect and characterize Atrial Fibrillation (AFib) and other cardiac arrhythmias.
Key Detections/Analysis FDA-cleared AI for murmur detection; Differentiates innocent and structural heart murmurs; Analyzes heart sound (PCG) and optional ECG data. AI-powered algorithm for advanced arrhythmia detection and analysis; Detects and characterizes Atrial Fibrillation (AFib) burden; Continuous ECG and PPG data collection.
Target Patient Population Adult and pediatric patients Not specified

Videos

Demos, reviews, and walkthroughs featuring Eko Murmur Analysis Software (EMAS) and ZEUS System (Zio Watch).

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Frequently Asked Questions

Eko Murmur Analysis Software (EMAS) is designed to detect and differentiate heart murmurs in adult and pediatric patients, providing clinical decision support for early detection of heart and lung disease. The ZEUS System (Zio Watch) is specifically designed for long-term continuous cardiac monitoring to detect and characterize Atrial Fibrillation (AFib) and other cardiac arrhythmias, offering actionable insights for physicians.
EMAS analyzes heart sound (PCG) and optional ECG data, integrating with Eko digital stethoscopes. The ZEUS System (Zio Watch) collects continuous ECG and PPG data through its wearable biosensor.
To use EMAS, Eko digital stethoscopes (CORE 500, DUO, CORE) are required. The ZEUS System utilizes a wearable biosensor called the Zio Watch for data collection.
EMAS is used for recording, playback, and analysis during an examination via a mobile application. The ZEUS System (Zio Watch) provides long-term continuous monitoring for up to 14 days.
Eko Murmur Analysis Software (EMAS) is FDA-cleared for use in adult and pediatric patients for murmur detection. The ZEUS System (Zio Watch) is indicated for use on adult patients 22 years and older for AF detection.
EMAS uses a mobile app for recording, playback, annotation, and saving, with PDF report generation and sharing that is EHR compatible. The ZEUS System (Zio Watch) offers cloud-based data analytics, a ZioSuite portal, and a provider mobile app for report interpretation and patient management, alongside a MyZio patient app for symptom logging and educational content.

Backers

Who funded each tool's parent company.

Eko Murmur Analysis Software (EMAS)

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