Clinical Decision Support

Eko Health vs PMcardio Queen of Hearts
Scores are legacy evidence and documentation scores, not product-performance ratings. How it is computed
Eko Health scores 53 of 100 (Solid choice), PMcardio Queen of Hearts 59 (Solid choice). Eko Health starts at $119.99 per year, PMcardio Queen of Hearts at EUR 10 per user per month.
Decision support · Reviewed November 5, 2026
On this page

Eko Health
by Eko Health
Digital stethoscopes and an AI membership that detect heart murmurs, AFib and low ejection fraction for clinicians.
PMcardio Queen of Hearts
by Powerful Medical · founded 2017
FDA De Novo authorized AI ECG model that flags STEMI and STEMI-equivalent occlusion MI on any 12-lead ECG, in the PMcardio app and in health-system STEMI pathways.
Score
Each row shows points earned of points available under the published rubric.
Eko Health
PMcardio Queen of Hearts
| Dimension | Eko Health | PMcardio Queen of Hearts | Difference |
|---|---|---|---|
| FDA clearance | 12 / 12 | 12 / 12 | 0 |
| HIPAA / SOC2 / BAA | 10 / 10 | 10 / 10 | 0 |
| EHR integrations (count) | 0 / 5.6 | 0 / 5.6 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 4.8 | 0 / 4.8 | 0 |
| Bidirectional write-back | 0 / 1.2 | 0 / 1.2 | 0 |
| Peer-reviewed papers | 8.4 / 21 | 8.4 / 21 | 0 |
| RCT / meta-analysis / systematic review | 0 / 9 | 4.5 / 9 | -4.5 |
| Funding & adoption signal | 8.4 / 12 | 6 / 12 | +2.4 |
| Pricing transparency | 2.5 / 2.5 | 2.5 / 2.5 | 0 |
Scroll horizontally to see every column.
Pricing
Eko Health
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| CORE 300 digital stethoscope | Not stated | Not stated | Sale price, list price $249 struck through on the product page. Sale end date not shown. |
| Eko+ | Not stated | Not stated | Required for Eko AI. Renews automatically for the year. 14-day free trial, downgrade to Free before day 14. |
| Enterprise (SENSORA, Eko Telehealth) | Not stated | Not stated | No public price. Contact sales. |
PMcardio Queen of Hearts
| Tier | Billing period | Price | Notes |
|---|---|---|---|
| Free | per month | Free | 5 ECG reports per month, no credit card. The pricing page defaults to the Slovak region and says prices vary by country. |
| Individuals | per user per month | EUR 10 | 10 EUR per month, 17 percent off billed yearly. 50 ECGs per month, Queen of Hearts, LVsense, ECGxplain and 36 core diagnostics, mobile app only, 30-day report history. Paid through the app store. Slovak-region price; the page says prices vary by country. |
| Teams | per year | EUR 2,610 | 2,610 EUR per year for 10 users (22 EUR per user per month, billed yearly), scalable to 50 users, 1,000 ECGs per month, web app, unlimited report history, US or EU data centre, onboarding session. Invoiced. Slovak-region price. |
| Organizations | Not stated | Not stated | No public price. Unlimited reports, users and locations, HL7/XML and EHR integration, AI-powered STEMI pathway, dedicated data residency and SLA. Contact sales. |
Verified November 5, 2026 from powerfulmedical.com (opens in new tab).
Evidence
Eko Health
FDA decisions
K261694 (opens in new tab)510(k)2026-07-23
CORE 300 Digital Stethoscope
K251494 (opens in new tab)510(k)2025-08-12
Eko Foundation Analysis Software with Transformers (EFAST)
K233409 (opens in new tab)510(k)2024-03-28
Eko Low Ejection Fraction Tool (ELEFT)
K233609 (opens in new tab)510(k)2024-03-28
CORE 500 Digital Stethoscope
K230111 (opens in new tab)510(k)2023-05-26
CORE 500 Digital Stethoscope
Show 5 more
K213794 (opens in new tab)510(k)2022-06-29
Eko Murmur Analysis Software (EMAS)
K200776 (opens in new tab)510(k)2020-04-06
Eko CORE
K192004 (opens in new tab)510(k)2020-01-15
Eko Analysis Software
K170874 (opens in new tab)510(k)2017-05-19
Eko Model E5 System (EME5), Eko DUO
K151319 (opens in new tab)510(k)2015-08-28
Eko Electronic Stethoscope System
Peer-reviewed
1 PubMed record names Eko Health.
PMcardio Queen of Hearts
FDA decisions
DEN250044 (opens in new tab)De Novo2026-09-03
STEMI AI ECG Model
Peer-reviewed
6 PubMed records name PMcardio Queen of Hearts.
- Electrocardiographic diagnostic possibilities for atrial fibrillation using artificial intelligence: Differentiation from sinus rhythm and other arrhythmias with the PMcardio app in COVID-19 patients. (opens in new tab)
- Bifascicular Block Associated With Myocardial Infarction: A Marker of Proximal Left Anterior Descending Artery Occlusion Confirmed by the Artificial Intelligence-Based Smartphone App Queen of Hearts. (opens in new tab)
- Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio). (opens in new tab)
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Eko Health | PMcardio Queen of Hearts |
|---|---|---|
| Free tier | Yes | Yes |
| HIPAA | Yes | Yes |
| SOC 2 Type II | Yes | Yes |
| EHR integrations | Not stated | Not stated |
| Founded | Not stated | 2017 |
| HQ | US | US |
Scroll horizontally to see both columns.
Common questions
Open the full decision support comparison
Differential diagnosis, treatment guidance, drug interactions, evidence-grounded Q&A. The CDS landscape ranges from the UpToDate gold standard to physician-only OpenEvidence. We compared what clinicians actually use.
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