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Large-scale NHS trial shows significant gains in early cardiac disease detection through AI-assisted stethoscope exams.
March 6, 2026
By: Michael Barbella
Managing Editor
Eko Health is sharing TRICORDER (Triple Cardiovascular Disease Detection Using an Artificial Intelligence Stethoscope) study results demonstrating that AI-assisted stethoscope exams can meaningfully improve early cardiac disease detection in real-world settings.
Among patients who received an AI stethoscope examination, the study data show detection increased 2.3 times for heart failure, 3.5-fold for atrial fibrillation, and 1.9 times for valvular heart disease versus the standard practice over 12 months.
Led by the Health Impact Lab at Imperial College London, the TRICORDER study represents one of the largest real-world randomized evaluations of AI algorithms for disease detection in primary care, according to Eko Health. The study involved 205 NHS general practices caring for 1.5 million patients.
“The Lancet publication of the TRICORDER study underscores the clinical importance and real-world impact of this technology,” said Dr. Nicholas S. Peters, professor of Cardiology at Imperial College London. “The stethoscope has always symbolized medicine’s human touch. This innovation restores that connection while giving clinicians a powerful new ability to uncover heart disease at the point of care. The findings affirm that AI can be safely implemented in everyday practice to improve population-level outcomes.”
The study evaluated outcomes from nearly 1,000 primary care clinicians using Eko’s AI-enabled digital stethoscopes during routine clinical care. By reflecting natural clinical workflows, TRICORDER provides rare insight into how AI performs in real-world environments and how it can identify patients at risk long before symptoms become critical.
“The Lancet is synonymous with the highest standards of clinical evidence,” Eko Health Chief Medical Officer Dr. Steven Steinhubl stated. “This publication validates the dedication of our partners and the potential of AI-assisted stethoscope exams to enhance early detection. We are excited to see the quality of this trial recognized by such an esteemed journal and inspired by the opportunity to help clinicians bring lifesaving insights to more patients every day.”
Eko Health’s digital stethoscopes combine high-fidelity sound with integrated ECG technology, enabling the capture and AI analysis of cardiac signals within seconds. The TRICORDER findings have informed expanded use of Eko AI-enabled devices in practices across South London, Sussex, and Wales in England, marking a significant milestone in the implementation of clinically validated AI at scale.Eko Health is a pioneering AI early disease detection company advancing how healthcare professionals detect and monitor heart and lung disease with its portfolio of digital stethoscopes, ECG devices, software, and AI-powered analysis. Its U.S. Food and Drug Administration-cleared platform, with more than 650,000 devices sold worldwide, helps clinicians detect earlier and manage treatment more effectively to improve patient outcomes. Eko Health is headquartered in Emeryville, Calif.
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