PRECISE Cloud ECG Interpretation

Unleash the full potential of ECG

Validate our claims on over 20,000 ECG interpretations:

CE & ISO certified 15 leads ECG machine included for contract subscribers to SenceBand™ wearable ECG device included for contract subscribers


Mila Kyrylchuk, MD, D.Sc. (ObGyn)

A number of studies have shown that heart rate variability analysis is a reliable predictor of high blood pressure and preeclampsia in pregnant women, and can also be used to detect early life-threatening conditions during pregnancy. Thus PRECISE with SenceBand could be a great tool for constant monitorng of risk factors.

Tatiana Anykeeva, MD, D.Sc. (Cardiology)

PRECISE does a lot more than we used to do, whilst examining ECG with our eyes. Now we are able to implement diagnostic both at nosological and pre-nosological levels. It is important to mention, that PRECISE ECG OS also prevents human error.

Irene Nayshtetik MD, Ph.D. (Rheumatology)

Estimation of cardiovascular risks has a tremendous impact on the management of patients with autoimmune disorders. That's why it's very important to have a solution for a long-term observation of CV risks.

Alex Markov MD, Ph.D. (Neurosurgery), CEO of a clinic specialized in neurorehabilitation

We implemented PRECISE in our clinical practice in order to estimate the state of the autonomous nervous system for each patient. An individual plan of rehabilitation cannot be prescribed and executed without constant HRV analysis. Honestly speaking, now we cannot work without this software.

Yuriy Lebed MD, Ph.D. (Cardiology), CEO of CRO Pharmaxi

Standardization of clinical diagnostic is a crucial element in Good Clinical Practice. That's why we are happy to be part of the PRECISE team.

Sam Aganov, MBA, Ph.D. (Neuropsychology), CEO of clinical network

PRECISE gave us an opportunity for solid evaluation of the neuropsychological effect of different technologies (i.e. Pure Purr) as well as expanded the way we use ECG as a diagnostic approach. Everything became more standardized, clear and informative. We live in the age of evidence-based medicine. And that makes PRECISE an invaluable tool for healthcare professionals.

Colin Blackwell, Chairman of Precise Cardiology Limited

With PRECISE we have collected a whole bunch of unique innovations together all at once. Here you can work with different equipment, with different formats, with different signal quality, with different interpretation standards, with different plug-in smart modules for intelligent patient management algorithms, and much more. But the most important thing is that we were able to overcome the main barrier that limited the implementation of automated interpretation. We have increased the accuracy of annotation from 60% to 90%. And this completely changed everything.

Ludmyla Khimion, MD, D.Sc., Prof. (Internal Medicine)

With PRECISE we applied the sophisticated approach to implementation of intelligent biofeedback algorithms. So we've dared to investigate the predictors of aging based on the analysis of heart rate variability:

The new benchmark in automated ECG interpretation

Modernise your ECG diagnostic routine to improve accuracy, content, processing and cost-effectiveness.

Imagine your cardio diagnostics becoming twenty 10 times more efficient.

100% fully automated ECG cloud based interpretation service.

Fully automated ECG measuring and interpretation

Standardised according to ISO, AHA and ESC 11 guidelines with constantly updated databases.

Greatly improves cost effectiveness

Reduces the cost of an ECG interpretation to about US$ 1 per unit

PRECISE-ly accurate

Completely eliminates human error in data processing.

Unlimited ECG interpretations run simultaneously

Allowing for more patients to be checked.

Remote access to ECG data

ECG interpreting can be outsourced outside of a clinic or hospital and ECG interpretation data can be easily analysed to assess the quality of medical diagnostic services being provided.

How it works

Analysis of over 700 ECG parameters 12 concurrently

The Arden Syntax 13 rule-based approach allows the use of any ECG interpreting algorithms, including the Minnesota Code 14 , the Selvester QRS Score 15 , the CIIS 16 , STEMI 17 the complete heart rate variability analysis 18 , etc.

Additional revenue streams

Provides opportunity to accumulate big data in a hospital information system that could be of use to government and scientific research programs.

Wider range of ECG-based services

From commonly used ECG nosological diagnostics to HRV-based pre-nosological diagnostics of cardio-vascular and non-cardiac diseases 21 .


Make considerable savings on equipment upgrade.

Raise your standards

With PRECISE, your quality management standards are easy to implement and raise.

Free integration

PRECISE supports 10 main ECG formats 19 and can be integrated into a hospital information system 20 without any additional costs. Regardless of cardiograph types used (high-end cardiographs, Holter monitors, wearable sensors or simple home cardiographs) PRECISE provides quality assurance of ECG interpretation, retrospective ECG files processing and remote care management.

State-of-the-art approach

ECG intervals interpretation accuracy

Improved efficiency of atrial fibrillation detection

Multilevel ECG interpretation

Level I

  • P wave, QRS complex, ST-T wave detection
  • Wave inversion detection
  • PR interval, QRS complex, QT interval, RR interval, PP interval durations and segment voltages calculated; for each in the sequence and average ones
  • Abnormal complexes detection and indication
  • Markup implementation in accordance with an ECG standard: Reference Event – an event defined to which relative time points are anchored [e.g. a meal, a drug dosage, etc.], Relative Time Point – a time point relative to the reference event [e.g. 30 minutes post dosage], ROI – Region Of Interest, used to define a region within an ECG series (TBD Q2 2018)
  • U-wave detection (TBD Q2 2018)
  • J-point detection
  • Delta wave detection (TBD Q2 2018)

Level II

  • Heart Rate obtained
  • HR abnormalities evaluated for regularity: regular [e.g., paroxysmal supraventricular tachycardia], regular irregularity [e.g., ventricular bigeminy], irregular irregularity [e.g., atrial fibrillation], irregular [e.g., multifocal premature ventricular contractions]
  • Normal/short/prolonged PR interval
  • Normal/prolonged QRS duration
  • Normal/prolonged QT interval
  • ST segment elevation detection
  • Heart Rate Variability parameters: Time domain: SDNN, SDANN, RMSSD, SDNN index, SDSD, pNN50, HRV triangular index, TINN; Frequency domain: Total Power, VLF, LF, HF, LF/HF.
  • Wave form analysis: symmetry, deformations, etc.
  • Abnormal rhythm: site of origin, rate, active/passive onset
  • Premature atrial/ventricular complexes, junctional rhythms detection.

Level III

  • Bradycardia/tachycardia indication
  • LQTS (Long QT Syndrome) indication
  • Atrial flutter vs Atrial fibrillation differentiation (TBD Q2 2018)
  • First degree AV block, Second degree AV block (Wenckebach, Mobitz) indication
  • Conventional STEMI (ST-elevation myocardial infarction (MI)) indication
  • Abnormalities in the QRS Axis indication
  • MI localization evaluation: inferior, posterior, right ventricular, anterior, lateral, septal STEMI vs Hypertrophy differentiation (TBD Q2 2018)
  • Wellens’ Syndrome (Wellens’ Warning) detection [24-hours advance sign of possible MI and ECG manifestation of LAD coronary artery stenosis] (TBD Q2 2018)
  • Wolf-Parkinson-White syndrome
  • RBBB (Right bundle branch block) and LBBB detection.
  • Sgarbossa criteria evaluation.
  • Non-linear HRV analysis (Poincare plots, CGSA, 1/f scaling, H scaling etc).

Level IV

  • HRV rhythm patterns analysis.
  • Arrhythmia classification
  • HRV-based cardiovascular risk scoring 23 .
  • HRV frequency domain analysis of acute and survived MI cases 24 , HRV-based risk assessment. (TBD Q2 2018).
  • HRV signs of myocardial dysfunction 25, .
  • HRV-based evaluation for non-cardiac diseases 26, 27, 28