Zio AT ECG Monitoring System vs Eko Low Ejection Fraction Tool (ELEFT)

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.
by iRhythm Technologies, Inc.
VS

AI Verdict

The Zio AT ECG Monitoring System is designed for continuous, long-term ECG monitoring to detect various arrhythmias, providing comprehensive reports over an extended period. In contrast, the Eko Low Ejection Fraction Tool (ELEFT) is a point-of-care solution that integrates with digital stethoscopes to quickly screen for low ejection fraction, an indicator of heart failure, during routine physical exams. While both leverage AI in cardiology and are FDA-cleared, their distinct focus areas (arrhythmia detection vs. heart failure risk screening) and deployment methods make them complementary rather than direct competitors.

Choose Zio AT ECG Monitoring System if…

Choose Zio AT ECG Monitoring System if you require continuous, long-term ECG monitoring for up to 14 days to detect and characterize symptomatic or asymptomatic cardiac arrhythmias. This system is ideal for patients where intermittent events are suspected, and a comprehensive, AI-powered analysis of extended ECG data is necessary for diagnosis and management.

View Zio AT ECG Monitoring System →

Choose Eko Low Ejection Fraction Tool (ELEFT) if…

Choose Eko Low Ejection Fraction Tool (ELEFT) if you need a rapid, non-invasive screening solution to identify patients at risk for heart failure during routine physical examinations. This tool is best suited for point-of-care use, providing quick AI-powered insights into low ejection fraction by integrating with digital stethoscopes.

View Eko Low Ejection Fraction Tool (ELEFT) →

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Zio AT ECG Monitoring System Eko Low Ejection Fraction Tool (ELEFT)
Pricing Contact for pricing Unknown
Deployment Cloud-based (data analytics and clinician portal) Unknown
BAA Available Yes AI-estimated Unknown
FDA Status Cleared AI-estimated Cleared AI-estimated
HIPAA Yes AI-estimated Unknown

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)

Tool B (ELEFT) offers superior immediate usability by integrating AI-powered low ejection fraction detection directly into a routine physical exam with results in approximately 15 seconds. This seamless, point-of-care integration minimizes disruption to existing clinical workflows. While Tool A (Zio AT) provides continuous monitoring, it requires patient adherence to wearing a patch for an extended period, which can introduce compliance challenges.

Clinical Value

Zio AT ECG Monitoring System

Tool A (Zio AT) provides continuous, uninterrupted ECG recording for up to 14 days, enabling comprehensive detection of both symptomatic and asymptomatic cardiac arrhythmias and generating detailed end-of-wear reports. This offers a deeper, more diagnostic insight into a patient's cardiac rhythm over time. Tool B (ELEFT) is a valuable screening tool for low ejection fraction at a single point in time, but its clinical value is focused on early risk identification rather than comprehensive, long-term diagnosis.

Pricing & Value

Tie

Both Tool A and Tool B explicitly state that pricing is not publicly disclosed and requires direct contact for a quote. Without any transparent pricing information or detailed cost-benefit analyses, it is impossible to objectively compare their pricing and overall value proposition.

Enterprise Readiness

Tie

Both tools demonstrate strong enterprise readiness, being FDA-cleared, HIPAA compliant, and having Business Associate Agreements (BAAs). Both are cloud-based and designed for integration into healthcare systems, with dedicated clinician portals or platforms (ZioSuite for Tool A, SENSORAu2122 for Tool B) to support enterprise-level deployment and management.

Innovation

Eko Low Ejection Fraction Tool (ELEFT)

Tool B (ELEFT) demonstrates a higher degree of innovation by embedding an AI algorithm for early detection of low ejection fraction directly into a standard digital stethoscope, providing rapid, actionable insights within 15 seconds during a routine physical exam. This approach significantly innovates the point-of-care screening workflow for a critical heart condition. While Tool A (Zio AT) offers advanced long-term wearable monitoring, ELEFT's integration into a common clinical interaction for immediate risk stratification is particularly novel.

Support & Docs

Tie

Both iRhythm (Tool A) and Eko Health (Tool B) provide extensive support resources and documentation for their FDA-cleared products, including clinical reference manuals, user instructions, FAQs, and dedicated customer support channels for both patients and healthcare professionals. Without specific comparative metrics on the quality or responsiveness of these services, it is not possible 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 Zio AT ECG Monitoring System Eko Low Ejection Fraction Tool (ELEFT)
Primary Function Continuous, AI-powered ECG monitoring for long-term arrhythmia detection. AI algorithm for early detection of low ejection fraction during routine physical exams.
Key Technology Wearable Zio AT patch for continuous ECG recording, wireless gateway, FDA-cleared deep-learned AI algorithm (ZEUS System). AI-powered low ejection fraction detection, integrates with FDA-cleared Eko digital stethoscopes, analyzes ECG and heart sound recordings.
Monitoring Duration/Analysis Time Continuous, uninterrupted ECG recording for up to 14 days. Provides results in approximately 15 seconds.
Target Condition Arrhythmia detection (symptomatic and asymptomatic cardiac events). Low ejection fraction, a key indicator of heart failure.
Specialties Cardiology. Cardiology, Family Medicine, Internal Medicine.

Videos

Demos, reviews, and walkthroughs featuring Zio AT ECG Monitoring System and Eko Low Ejection Fraction Tool (ELEFT).

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Frequently Asked Questions

The Zio AT ECG Monitoring System is designed for continuous, long-term ECG monitoring to detect various symptomatic and asymptomatic cardiac arrhythmias for up to 14 days. In contrast, the Eko Low Ejection Fraction Tool (ELEFT) is an AI algorithm that integrates with digital stethoscopes to aid in the early detection of low ejection fraction, a key indicator of heart failure, during routine physical exams.
The Zio AT system involves patients wearing a patch for continuous ECG recording, with data transmitted wirelessly for analysis and comprehensive end-of-wear reports accessible via a clinician portal. ELEFT integrates directly with Eko digital stethoscopes, providing AI-powered analysis of ECG and heart sound recordings in approximately 15 seconds during a physical examination.
The Zio AT system primarily analyzes continuous ECG data using its FDA-cleared deep-learned AI algorithm (ZEUS System) to detect arrhythmias. The Eko Low Ejection Fraction Tool analyzes both ECG and heart sound recordings captured by integrated Eko digital stethoscopes to identify low ejection fraction.
Zio AT is suitable for patients requiring long-term continuous monitoring for arrhythmia detection, including those with symptomatic and asymptomatic cardiac events. ELEFT is designed for adults (18 years and older) at risk for heart failure, aiding in early screening during routine physical exams, and is applicable across cardiology, family medicine, and internal medicine.
The Zio AT system provides comprehensive end-of-wear reports after up to 14 days of continuous monitoring, with reports typically sent to the healthcare provider within one to four business days of iRhythm receiving the monitor. The Eko Low Ejection Fraction Tool delivers AI-powered results in approximately 15 seconds during a physical exam.

Backers

Who funded each tool's parent company.

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