Tempus ECG-Low EF

by Tempus AI  · Based in United States → — AI-Powered Precision Medicine & Genomic Testing
Cardiology Emergency Medicine Internal Medicine

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Regulatory Status Disclosed

Overview

Tempus ECG-Low EF is an AI-powered software intended to analyze resting, non-ambulatory 12-lead ECG recordings. Its primary purpose is to detect signs associated with having a low left ventricular ejection fraction (LVEF less than or equal to 40%). The software is designed for use on clinical diagnostic ECG recordings collected at a healthcare facility from patients 40 years of age or older who are at risk of heart failure. This patient population includes, but is not limited to, individuals with conditions such as atrial fibrillation, aortic stenosis, cardiomyopathy, myocardial infarction, diabetes, hypertension, mitral regurgitation, and ischemic heart disease.

Tempus ECG-Low EF provides a binary output for interpretation and is not intended to be a stand-alone diagnostic tool for cardiac conditions. It should not be used for patient monitoring or on ECGs with paced rhythms. Results from the software should be interpreted in conjunction with other diagnostic information, including the patient’s original ECG recordings, other tests, symptoms, and clinical history. A positive result may suggest the need for further clinical evaluation, such as an echocardiogram, to establish a diagnosis of low LVEF. Patients receiving a negative result should continue to be evaluated according to current medical practice standards using all available clinical information.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-powered algorithm for ECG analysis
  • Detects signs of low Left Ventricular Ejection Fraction (LVEF u226440%)
  • Analyzes resting, non-ambulatory 12-lead ECG recordings
  • Provides a binary output (Low LVEF Detected / Not Detected)
  • Aids in identifying patients 40+ years at risk of heart failure
  • Trained on a large dataset of over 930,000 ECGs from 170,000+ patients
  • Intended for use in clinical diagnostic settings at healthcare facilities

Use Cases

  • Early identification of patients at risk for serious cardiovascular conditions
  • Supporting clinicians in the evaluation of patients for low LVEF
  • Enhancing heart failure risk assessment in at-risk populations
  • Guiding further clinical evaluation, such as echocardiograms

What Physicians Need to Know

ECG/EKG Analysis Capability
Analyzes resting, non-ambulatory 12-lead ECG recordings using AI to detect signs associated with a low left ventricular ejection fraction (LVEF u2264 40%). It provides a binary output: 'Low LVEF Detected' or 'Low LVEF Not Detected'. The software is not intended for use on ECGs with paced rhythms.
Echocardiography AI Features
While the tool itself does not analyze echocardiograms, a 'Low LVEF Detected' result suggests considering further clinical evaluation or diagnostic workup, such as an echocardiogram, to confirm the presence of low LVEF.
Heart Failure Risk Prediction
Identifies patients 40 years of age or older at risk of heart failure by detecting signs associated with low LVEF (u2264 40%). This includes populations with conditions such as cardiomyopathy, myocardial infarction, diabetes, and hypertension.
Cardiac Monitoring Integration
The software is designed for use on clinical diagnostic ECG recordings collected at a healthcare facility and is not intended for patient monitoring. Tempus utilizes EHR integrations to filter patients eligible for ECG-AI device use.
AHA/ACC Guideline Alignment
Results should be interpreted in conjunction with other diagnostic information and current medical practice standards. A positive result prompts consideration for further clinical evaluation, such as an echocardiogram, aligning with established guidelines for diagnosing low LVEF.
Real-Time Alert Capability
The system provides a binary output ('Low LVEF Detected' or 'Low LVEF Not Detected') to care teams for patient follow-up, indicating a mechanism for notification rather than continuous real-time monitoring.
Physician Tip

Physicians should interpret Tempus ECG-Low EF results in conjunction with comprehensive clinical information, including the patient's original ECG, other diagnostic tests, symptoms, and clinical history. The tool is not a stand-alone diagnostic for low LVEF, nor should it be used for patient monitoring or to initiate therapy. A 'Low LVEF Detected' result warrants consideration of further diagnostic workup, such as an echocardiogram, and more frequent follow-up. The software is not validated for patients under 40 years of age or for ECGs with paced rhythms. A 'Low LVEF Not Detected' result does not rule out current or future low LVEF, and patients should continue to be evaluated according to standard medical practice.

Tempus ECG-Low EF is part of Tempus' suite of FDA-cleared ECG-AI devices and leverages EHR integrations to identify and filter eligible patients based on its intended use criteria. This allows for seamless integration into existing clinical workflows for identifying patients at risk for cardiovascular conditions.

Details

Category Cardiology AI
Pricing Contact vendor
DeploymentSoftware, integrated into healthcare facility workflows
Compliance
BAA Available Yes AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Yes AI-estimated

Tempus ECG-Low EF received 510(k) clearance (K250119) from the U.S. Food and Drug Administration (FDA) on July 15, 2025. The clearance is for software that detects signs associated with having a low left ventricular ejection fraction (LVEF ≤40%) in resting, non-ambulatory 12-lead ECG recordings from patients 40 years of age or older at risk of heart failure.

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

What the Web Says

Tempus ECG-Low EF is an AI-powered software that analyzes 12-lead ECG recordings to identify patients aged 40 and older who may have a left ventricular ejection fraction (LVEF) of 40% or less, a key indicator for serious cardiovascular conditions. It received FDA 510(k) clearance in July 2025, making it Tempus's second FDA-cleared ECG-AI device. The software is intended to help clinicians identify at-risk patients earlier in their care journey, but it is not a standalone diagnostic tool and results should be interpreted with other clinical data.

Overall: Positive

Strengths

  • Aids in early identification of patients at risk for serious cardiovascular conditions like heart failure, cardiomyopathy, or post-heart attack damage.
  • Analyzes standard 12-lead ECG recordings, integrating into existing clinical workflows and EHRs.
  • Second FDA-cleared ECG-AI device from Tempus, demonstrating a commitment to AI-driven cardiology.
  • Trained on a large dataset of over 930,000 ECGs from more than 170,000 individuals.
  • Can help uncover patterns in ECGs that may be missed by the human eye.

Limitations

  • Not a standalone diagnostic tool; requires interpretation in conjunction with other clinical information.
  • Should not be used for patient monitoring or on ECGs with paced rhythms.
  • Not evaluated for patients younger than 40 years of age.
  • A positive result suggests the need for further evaluation, not a definitive diagnosis.
  • Some general employee reviews for Tempus AI (the parent company) mention a toxic work environment, poor pay, and lack of upward mobility, though these are not specific to the ECG-Low EF product.
  • Not intended to replace other diagnostic tests or be used to initiate therapy.

Based on reviews from: Investing.com, Xtalks, Medical Product Outsourcing, Medical Device Network, 24X7mag, Practical Patient Care, accessdata.fda.gov, Tempus, BioSpace, PubMed, Eko Health, Indeed.com, Capterra

Last updated: 2026-07-20

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Press & Coverage

Xtalks
Tempus Scores FDA Clearance for AI ECG Software to Flag Low LVEF - Xtalks
Tempus AI received FDA 510(k) clearance for its ECG-Low EF software, an AI-powered tool designed to identify patients aged 40 and older with a left ventricular ejection fraction (LVEF) of 40% or less, a key indicator for heart failure. This is Tempus' second FDA-cleared AI ECG tool, following its ECG-AF application.
2025-07
Medical Product Outsourcing
Tempus ECG-Low EF Software Earns FDA OK - Medical Product Outsourcing
Tempus AI has secured FDA 510(k) clearance for its ECG-Low EF software, an AI tool that analyzes 12-lead ECG recordings to detect signs of low left ventricular ejection fraction (LVEF u2264 40%) in at-risk patients 40 and older. This marks their second FDA-cleared AI ECG device, expanding their cardiovascular risk identification suite.
2025-07
24X7mag
FDA Clears AI Tool for Detecting Low Ejection Fraction from ECGs - 24X7mag
Tempus AI announced FDA 510(k) clearance for its ECG-Low EF software, an AI-powered tool that analyzes 12-lead ECGs to identify patients who may have a low left ventricular ejection fraction (LVEF), a critical indicator for heart failure. This is Tempus' second FDA-cleared ECG-AI device, complementing their ECG-AF software.
2025-07
Practical Patient Care
Tempus AI receives FDA clearance for ECG-Low EF software - Practical Patient Care
Tempus AI has received FDA 510(k) clearance for its ECG-Low EF software, an AI-driven tool for identifying patients with potentially low left ventricular ejection fraction (LVEF). This is the second AI-powered ECG device from Tempus to gain FDA approval, following ECG-AF.
2025-07
Tempus (Press Release)
Tempus Receives U.S. FDA 510(k) Clearance for Tempus ECG-Low EF Software
Tempus AI, Inc. announced it received 510(k) clearance from the U.S. FDA for its Tempus ECG-Low EF software, an AI tool that identifies patients with a low left ventricular ejection fraction (LVEF) by analyzing 12-lead ECG recordings. This is their second FDA-cleared ECG-AI device.
2025-07
TradingView
Tempus AI Gains FDA Nod Amid Booming AI ECG Market Momentum - TradingView
Tempus AI, Inc. received 510(k) clearance from the FDA for its Tempus ECG-Low EF software, an AI-powered tool to identify patients with low left ventricular ejection fraction (LVEF). This clearance highlights the growing impact of AI in cardiovascular diagnostics and the expanding market for AI ECG analysis systems.
2025-07
GuruFocus
Tempus AI Inc (TEM) Advances AI in Ophthalmology with FDA Cleara - GuruFocus
Tempus AI Inc. announced FDA 510(k) clearance for its ECG-Low EF software, an AI-driven tool designed to identify patients with a low left ventricular ejection fraction (LVEF). This clearance strengthens Tempus' position in AI-driven cardiology solutions and aids in early detection of cardiovascular conditions.
2025-07
Investing.com
Tempus receives FDA clearance for AI software detecting low EF - Investing.com
Tempus has received FDA clearance for its AI software, ECG-Low EF, which helps clinicians identify patients at risk for serious cardiovascular conditions by detecting low left ventricular ejection fraction (LVEF). The software is intended for use on 12-lead ECG recordings from patients aged 40 or older at risk of heart failure.
2025-07

Videos

Product demos, reviews, and walkthroughs for Tempus ECG-Low EF.

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Frequently Asked Questions

Tempus ECG-Low EF is FDA 510(k) cleared software that uses artificial intelligence to analyze resting, non-ambulatory 12-lead ECG recordings. Its purpose is to detect signs associated with a low left ventricular ejection fraction (LVEF u2264 40%) in patients aged 40 years or older who are at risk of heart failure. It is not a stand-alone diagnostic tool, and results should be interpreted in conjunction with other clinical information, symptoms, and patient history.
Tempus ECG-Low EF has received 510(k) clearance from the U.S. Food and Drug Administration (FDA). This clearance indicates that the software is deemed substantially equivalent to a legally marketed predicate device.
Tempus ECG-Low EF is not intended for patient monitoring, should not be used on ECGs with paced rhythms, and is not for patients younger than 40 years of age. Additionally, it should not be used to initiate any therapy or treatment for low LVEF based solely on its results, nor for repeated testing of the same patient within a 12-month period.
Tempus ECG-Low EF serves as a tool to help clinicians identify patients at risk for low LVEF, suggesting the need for further clinical evaluation, such as an echocardiogram, if a positive result is detected. While Tempus also offers ECG-AF, other AI-enabled ECG alternatives in the market include solutions from companies like AliveCor for reduced leadset and consumer-facing use, Eko for multipurpose stethoscope-based screening, and Anumana for targeted low-EF analysis.
The Centers for Medicare & Medicaid Services (CMS) has included AI-ECG technology in its 2025 Hospital Outpatient Prospective Payment System final rule. This decision allows for reimbursement of cardiac assessments using AI algorithms, such as Tempus' ECG-AF and Anumana's low ejection fraction ECG-AI, with associated procedure codes assigned to APC 5734, effective January 1, 2025.
The Tempus ECG-Low EF model was developed using a training dataset of over 930,000 ECGs from more than 170,000 unique patients. In an independent validation cohort, the model achieved 85.8% sensitivity and 83.0% specificity for detecting low EF, with consistent results across demographic subgroups, supporting its FDA 510(k) clearance. For patients with a positive result, LVEF (u226440%) would be observed in approximately 2-in-5 patients when tested by echocardiogram.

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Suggest an Edit → | Last Verified: 2026-04-19 | First Added: 2026-04-19

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