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MyoVista wavECG vs Zio

iRhythm holds 18 FDA clearances, the latest a ZEUS Platform clearance on May 29, 2026, and the FY2025 10-K says FDA issues remain open and that a further warning letter, consent decree or recall is possible. Separately, a warning letter of May 25, 2023 said Zio AT was changed without clearance. The vendor describes its Zio algorithm as the first FDA-cleared deep-learned algorithm verified by qualified cardiac technicians.

HeartSciences holds one clearance, the wavECG on October 5, 2026, and it includes no AI-ECG algorithm. The company says it does not intend to commercialize the device without a cleared algorithm, and it names no customers. A business combination with Fortitude Mining Holdings is expected to close in the fourth quarter of 2026, with its effect on the medical business unknown. For a cardiology group signing a multi-year agreement, the funding on record is about $6.375 million gross from the June 2022 IPO and about $23.7 million raised in total per CB Insights, a third-party source.

For a cardiology group that wants an AI-read resting 12-lead ECG this year, HeartSciences loses. A group that wants multi-day outpatient rhythm recordings orders Zio.

Decision support · Reviewed November 2, 2026

MyoVista wavECG logo

MyoVista wavECG

by HeartSciences

12-lead resting ECG device for cardiology clinics, FDA 510(k) cleared in October 2026 without its AI-ECG algorithm.

ZI

Zio

by iRhythm Technologies · founded 2006

Zio ECG patch service: a deep-learning algorithm flags arrhythmias, cardiac technicians validate them, and a physician report follows.

When to pick each one

MyoVista wavECG

  • Epic showroom listing on vendor homepage
  • Single 510(k), October 2026, device only
Read the full MyoVista wavECG review

Zio

  • 18 FDA clearances, latest in May 2026
  • Zio service with a 2019 systematic review
Read the full Zio review

Score

Each row shows points earned of points available under the published rubric.

MyoVista wavECG

31of 100

Competitive

Zio

69of 100

Top-ranked
Score by dimension for MyoVista wavECG and Zio
DimensionMyoVista wavECGZioDifference
FDA clearance12 / 1212 / 120
HIPAA / SOC2 / BAA6 / 100 / 10+6
EHR integrations (count)1.7 / 5.60 / 5.6+1.7
Top-3 EHR coverage (Epic / Oracle / Athena)1.9 / 4.80 / 4.8+1.9
Bidirectional write-back0 / 1.20 / 1.20
Peer-reviewed papers0 / 2121 / 21-21
RCT / meta-analysis / systematic review0 / 99 / 9-9
Funding & adoption signal3 / 128.4 / 12-5.4
Pricing transparency1.3 / 2.51.3 / 2.50
Years in market0 / 66 / 6-6

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How scores are computed

Pricing

MyoVista wavECG

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

Zio

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

Evidence

MyoVista wavECG

FDA decisions

Zio

FDA decisions

Show 13 more

Peer-reviewed

5 PubMed records name Zio.

Compliance and integrations

Documented from each vendor’s own pages.

SpecMyoVista wavECGZio
Free tierNo / unverifiedNo / unverified
HIPAAYesNo / unverified
SOC 2 Type IINo / unverifiedNo / unverified
EHR integrationsEpicNot specified
Foundedn/a2006
HQUSUS

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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.