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Introducing Cardiac Exam Mode

The Cardiac Exam mode helps you efficiently conduct a comprehensive cardiac assessment, turning any physical exam into a greater opportunity to catch cardiovascular disease. You will be guided through a 4-point examination process in the following areas of the chest: Right Upper Sternal Border (RUSB), Left Upper Sternal Border (LUSB), Left Lower Sternal Border (LLSB), and APEX. Eko will automatically check for potential murmurs or atrial fibrillation at every position. Results will populate on the Cardiac Exam Summary Page once all 4 positions are complete.


Cardiac Exam Mode Walkthrough:

Step 1: Connecting device

Make sure Bluetooth is enabled on your mobile device. Log in to the Eko App and power on your digital stethoscope. 





Select the stethoscope you want to set up from the screen. Connect_Device_CE_2.png


If you’re using the same stethoscope from your last pairing, Eko will automatically reconnect with that stethoscope. The app will indicate when the stethoscope is paired successfully. iPhone_UI_43.png

Step 2: Starting a cardiac exam

If it is your first time taking a recording, follow the prompts on the screen to be guided through the steps. If you’ve already completed your first recording, you’ll see the cardiac exam screen, and have the option to start a spot check or full cardiac exam. Tap “Full Cardiac Exam” to begin. iPhone_UI_44.png

Step 3: Taking a recording

The Eko app will walk you through each auscultation position starting at the Right Upper Sternal Border (RUSB). Use the visual as a placement reference. You can skip recording from any position and move to the next by tapping “Skip Position.” iPhone_UI_45.png


Hold the stethoscope in place and have your patient remain still and quiet. Recording will begin and end automatically once the Eko app detects a signal. Tap “Audio” to enable listening from your Bluetooth device and access Volume Boost. Tap “Placement” to enter the placement for this position.  iPhone_UI_46.png


Hold your stethoscope steady for the next 15 seconds. Eko will automatically check for heart murmurs and/or atrial fibrillation (when using DUO). iPhone_UI_47.png

Step 4: Continuing exam

Once the RUSB is completed, the app will move continuously through the Left Upper Sternal Border (LUSB), iPhone_UI_48.png


Then, to the Left Lower Sternal Border (LLSB), iPhone_UI_49.png


and finally, the APEX. iPhone_UI_50.png

Step 5: Assigning exam 

Once all 4 recordings are complete, results for all positions will populate on the Cardiac Exam Summary screen, including any murmurs or AFib detected. From here, you can assign the exam to a patient by clicking “Assign” on the top right corner. iPhone_UI_51.png


If you’re assigning the recording to a patient you’ve already created, you can find and select them using the search bar or by scrolling through the patient list. iPhone_UI_52.png


You can also create a new patient profile directly from the recording. If you close the “Assign Patient” tray or select “I’ll Assign Later,” your recording will be automatically saved under “Unassigned.” iPhone_UI_53.png

Step 6: Selecting a stance

(Optional) Indicate the stance your patient was in during the recording by selecting: “Standing, Sitting, or Supine.” iPhone_UI_54.png

Step 7:  Adding notes

Tap “Notes” to further annotate this exam with freeform text. iPhone_UI_55.png


Fill in any additional detail by typing into the text field. Keep in mind that any notes or comments you add will be included when sharing this recording. Therefore, we strongly recommend omitting any personally identifiable patient information or protected health information. Select “Done” to save the note.  iPhone_UI_56.png


From the Summary Notes screen, you can edit or delete the note by swiping left on the note.  iPhone_UI_57.png


You can also add additional notes separate from the one previously created by tapping, “Add Note” at the bottom of the screen. iPhone_UI_58.png

Step 8: Sharing a report

Tap “Share” to generate and share a report with the full waveforms, secure links to access the audio clips for each position, and any included annotations. iPhone_UI_59.png


You’ll have the option to use a number of common mediums including text messaging, email, or any frequently used apps. Your recipient will be able to access the audio clip directly from the report without any login.  iPhone_UI_93.png

[Important] If this recording is assigned to a patient, any personally identifiable information (PII) from that patient will be present and visible on the report. This may violate HIPAA provisions; you are responsible for ensuring HIPAA compliance when you are sharing patient records.

 Step 9: Managing individual recordings

Back on the Cardiac Exam Summary screen, you can also tap on a position to review that recording in more detail. iPhone_UI_61.png


From the selected position, you can replay the audio recording by tapping the playback button. Tap “Audio” to enable listening through your Bluetooth device.   iPhone_UI_62.png


Tap “Share” to generate a PDF and audio clip from this specific position. iPhone_UI_63__1_.png


Tap “Delete” to remove this position from the full exam.  iPhone_UI_64.png


You’ll have the option to re-record the deleted position before ending the exam. Once you end the exam, you won’t be able to delete or re-record any single position for this exam, or any previously completed exams. iPhone_UI_65.png

Step 10: Ending exam

Tap “End Exam” to return to the Cardiac Exam home screen.  iPhone_UI_66.png

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