ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm

by Anumana, Inc.  · Based in United States → — Unlocking the Language of the Heart
Cardiology Hospital Medicine Internal Medicine

Overview

The Anumana ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm is a software as a medical device (SaMD) designed to assist clinicians in identifying adult patients who may be at risk for Cardiac Amyloidosis (CA) using a standard 12-lead electrocardiogram (ECG).

  • What it does: This AI-enabled algorithm analyzes ECG waveforms to detect patterns associated with CA that may not be apparent through human interpretation. It is intended to aid in earlier detection of CA in adults being evaluated for signs or symptoms consistent with the condition, including those with unexplained heart failure, nephrotic syndrome, peripheral neuropathy, arrhythmias, or aortic stenosis.
  • Who it is for: The tool is relevant for various specialties and care settings where patients are evaluated for cardiac symptoms, particularly those with comorbidities associated with CA. This includes cardiologists, primary care physicians, and other clinicians in hospital or outpatient settings.
  • How it fits a clinical or practice workflow: The algorithm integrates into existing clinical workflows by utilizing standard 12-lead ECGs that are routinely obtained in practice, without requiring additional testing. It is not intended as a standalone diagnostic tool but rather to support clinicians in identifying patients who may benefit from further evaluation for CA.
  • Notable capabilities: The ECG-AI CA algorithm was developed at Mayo Clinic and validated in a multi-center study. It is the first and only FDA-cleared algorithm for this indication using standard 12-lead ECGs.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-driven analysis of standard 12-lead ECGs
  • Detects cardiac disease signals invisible to the human eye
  • Integrates with existing clinical workflows and EHRs
  • Aids in earlier detection of Cardiac Amyloidosis
  • Software as a Medical Device (SaMD)
  • Clinically validated with extensive evidence base
  • Supports clinical decision-making at the point of care
  • Eligible for reimbursement

Use Cases

  • Early identification of cardiac amyloidosis in adults being evaluated for consistent signs or symptoms
  • Screening patients with conditions commonly associated with cardiac amyloidosis (e.g., unexplained heart failure, nephrotic syndrome, peripheral neuropathy, arrhythmias, aortic stenosis)
  • Supporting clinicians in recognizing suspicion of cardiac amyloidosis from routine ECGs
  • Guiding further clinical evaluation for at-risk patients

What Physicians Need to Know

ECG/EKG Analysis Capability
The ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm is a software as a medical device (SaMD) that analyzes standard 12-lead ECGs to aid in the earlier detection of Cardiac Amyloidosis in adults. It uses a deep learning model to identify subtle patterns in ECG waveforms that may indicate CA, which can be missed by human interpretation. The algorithm has shown an area under the receiver operating characteristic curve (AUC) of 0.91 for detecting CA. It can also work with single-lead and 6-lead ECG applications, although with slightly lower performance.
Heart Failure Risk Prediction
The algorithm aids in the earlier detection of Cardiac Amyloidosis, a condition that can lead to heart failure if not recognized early. By identifying CA, the tool indirectly contributes to heart failure risk prediction and management, as early diagnosis allows for timely intervention and improved outcomes. The AI-enhanced ECG model (A2E) has also been shown to be independently prognostic for overall survival in both AL and ATTR CA, suggesting its utility in risk stratification.
AHA/ACC Guideline Alignment
The ECG-AI Cardiac Amyloidosis 12-Lead Algorithm is not intended to replace current clinical practice guidelines but rather to aid in earlier detection. A positive result suggests the need for further clinical evaluation to establish a diagnosis of Cardiac Amyloidosis, aligning with a guideline-driven diagnostic pathway.
Real-Time Alert Capability
The algorithm is designed to help clinicians identify patients who may be at risk for CA at the point of care, suggesting a capability to provide timely information. This can support earlier diagnosis and more timely next steps in care.
Physician Tip

This AI-powered ECG algorithm serves as a valuable screening tool to flag patients at risk for cardiac amyloidosis, especially those with non-specific symptoms or comorbidities like unexplained heart failure, nephrotic syndrome, peripheral neuropathy, arrhythmias, or aortic stenosis. A positive result warrants further clinical evaluation, but a negative result in a high-risk patient should not rule out additional investigation. It's crucial to integrate this tool with clinical judgment and existing guidelines, as it is not a stand-alone diagnostic device. The ability to detect CA earlier, even before advanced imaging, can significantly impact patient outcomes by enabling timely interventions.

The ECG-AI Cardiac Amyloidosis 12-Lead Algorithm is designed as a software-as-a-medical-device (SaMD) that integrates into existing clinical workflows by analyzing standard 12-lead ECG data already gathered in practice, without requiring additional testing. It is built on a secure, clinically validated infrastructure to support seamless integration across diverse healthcare systems. The algorithm was developed in collaboration with Mayo Clinic and has been validated in large, independent, multi-center studies across various U.S. health systems. Anumana is actively pursuing regulatory approval for this algorithm in the USA, Europe, and Japan.

Details

Category Cardiology AI, Clinical Decision Support & Reference
Pricing Unknown — unknown
DeploymentIntegrated with existing ECG management systems and EHR environments
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Unknown AI-estimated

Anumana's ECG-AI Cardiac Amyloidosis 12-Lead Algorithm received U.S. Food and Drug Administration (FDA) clearance on April 8, 2026. It is the first and only FDA-cleared device for this indication using standard 12-lead ECGs, and it previously received FDA Breakthrough Device Designation.

Integrations
EHR Not specified
Specialties Cardiology, Hospital Medicine, Internal Medicine

What the Web Says

The ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm by Anumana is an FDA-cleared AI medical device designed to detect patterns indicative of cardiac amyloidosis from routine 12-lead ECGs. This algorithm aims to address the historical challenge of late-stage diagnosis for cardiac amyloidosis, particularly ATTR-CA, by identifying subtle waveform signatures often missed by the human eye. Its early detection capabilities are crucial given the existence of new disease-modifying therapies that are most effective when initiated early in the disease progression.

Overall: Positive

Strengths

  • Early detection of cardiac amyloidosis, which is often underdiagnosed until advanced stages.
  • Identifies subtle ECG waveform signatures that human review may miss.
  • Potentially enables earlier initiation of disease-modifying therapies for cardiac amyloidosis.
  • Can be integrated into existing ECG reporting systems, offering a zero-friction screening addition.
  • Relevant for cardiologists, internists, and primary care physicians who order or review ECGs.
  • Received FDA 510(k) clearance and Breakthrough Device designation.

Limitations

  • No graphical user interface (GUI) of its own, requiring integration with third-party software for result display.
  • Specific physician, healthcare IT, tech reviewer, Reddit, G2, or Capterra reviews are not readily available in the search results.
  • As an SDK/software module, its effectiveness and user experience are dependent on the integration quality with existing systems.
  • The search results do not contain information about pricing or implementation costs.
  • No direct user testimonials or case studies were found in the provided search snippets.
  • The search results do not contain information about potential false positives or negatives.

Based on reviews from: ReachMD, Physician AI Tools, Innolitics, FDA

Last updated: 2026-09-24

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Press & Coverage

ReachMD
ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm (1040)
Anumana's ECG-AI algorithm analyzes routine 12-lead ECGs to identify patterns indicative of cardiac amyloidosis, a frequently under-diagnosed protein accumulation disease. This AI-powered tool aims for earlier detection, which is crucial for effective treatment with new disease-modifying therapies.
2026-05
FDA
Breakthrough Devices Program - FDA
The FDA lists Anumana, Inc.'s ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm (1040) with marketing submission number K253801 and a decision date of April 7, 2026, as part of its Breakthrough Devices Program.
2026-08
Innolitics
Q2 2026 AI/ML FDA Clearances and De Novos
This report on Q2 2026 FDA authorizations for AI/ML devices highlights Anumana's ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm, cleared on April 7, 2026, as a 510(k) device for cardiovascular use.
2026-07
FDA
K253801 - 510(k) Premarket Notification
This FDA 510(k) Premarket Notification details the ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm (1040) submitted by Anumana, Inc., located in Cambridge, MA.
2026-09
FDA
TPLC - Total Product Life Cycle - FDA
The FDA's Total Product Life Cycle database includes the ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm (K253801) by Anumana, Inc., described as machine learning-based notification software to suggest the likelihood of cardiac amyloidosis.
2026-09
Physician AI Tools
Medical AI Tools for Physicians | Physician AI Tools
Anumana, Inc.'s ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm is listed as a cardiology AI tool that screens for cardiac amyloidosis using standard 12-lead ECGs.
unknown
Innolitics
Everything Outside the Binary Is a Guess. Stop Submitting Guesses.
This article mentions Anumana, Inc.'s ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm as a software module in a Docker container without a GUI, integrating with EMR/EMS via API.
2026-09

Videos

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Frequently Asked Questions

The ECG-AI Cardiac Amyloidosis 12-Lead Algorithm is a software as a medical device (SaMD) that analyzes standard 12-lead ECGs to identify subtle patterns indicative of cardiac amyloidosis (CA). It is intended to aid in the earlier detection of CA in adults who are being evaluated for signs or symptoms consistent with the condition, such as unexplained heart failure, nephrotic syndrome, peripheral neuropathy, arrhythmias, or aortic stenosis.
The ECG-AI Cardiac Amyloidosis algorithm has received U.S. Food and Drug Administration (FDA) clearance, making it the first and only device cleared for this indication using standard 12-lead ECGs. It was initially developed at Mayo Clinic and subsequently validated in a large, independent, multi-center study of 25,525 patients across four U.S. health systems, demonstrating 78.9% sensitivity and 91.2% specificity in adult patients with signs, symptoms, or comorbidities of CA.
This algorithm is not intended to be a standalone diagnostic device for cardiac amyloidosis, nor does it replace current clinical practice guidelines. A positive result suggests the need for further clinical evaluation, and a negative result in a high-risk patient should not rule out additional clinical evaluation. The algorithm's performance may be lower in patients with left bundle branch block, left ventricular hypertrophy, and ethnically diverse populations, emphasizing the need for subgroup-specific validation.
While the Anumana ECG-AI algorithm is the first FDA-cleared for CA using standard 12-lead ECGs, other AI algorithms for standard 12-lead ECGs have been developed with comparable diagnostic accuracy. Additionally, some research explores 3-dimensional ECG algorithms using fewer leads for screening. Current diagnostic modalities also include advanced imaging techniques like cardiac MRI and radionuclide imaging, and sometimes invasive myocardial biopsy.
The ECG-AI algorithm is designed to integrate into existing workflows by analyzing ECG data already gathered in clinical practice, without requiring additional testing. It is intended to be applied jointly with clinician judgment, providing decision support and potentially flagging patients at risk who might otherwise not be evaluated further. Compliance would involve adhering to the indications for use, recognizing it as an aid for earlier detection, and not a standalone diagnostic tool.
Early diagnosis of cardiac amyloidosis is critical, as timely intervention can significantly improve patient outcomes. By aiding in earlier detection, the algorithm may lead to more efficient use of confirmatory testing and earlier initiation of treatment. While specific pricing for the CA algorithm isn't detailed, similar AI-ECG programs for other conditions have shown to be cost-effective.

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Suggest an Edit → | Last Verified: 2026-09-23 | First Added: 2026-09-23
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