“Why should I perform an ECG that detects only a fraction of heart problems when there is a much more precise and informative diagnostic method?”

“I am deeply grateful to God that I am able to offer cardisiography in my practice. We have already carried out nearly 550 measurements—and in doing so have demonstrably saved at least 20 people from a heart attack and at least 5 people from certain death.

My goal is to keep people healthy for as long as possible. I always say: prevention is more valuable than the best therapy. That is why cardisiography fascinates me. As a physician and a graduate engineer, I support this technology with both heart and mind, because it serves people and helps us doctors detect heart problems earlier and more precisely, prevent heart attacks, and save lives.

I have eliminated the standard ECG from my practice. Why should I perform an ECG that detects only a fraction of heart problems when there is a much more precise and informative diagnostic method?

I would like to share three striking patient cases involving cardisiography: On the third day after acquiring the device, we had our first patient with a highly red result. I referred him to a cardiologist for further evaluation and did not see him again for quite some time. More than a year later he returned. He had shown the cardiologist the PDF report from the cardisiography. However, the cardiologist was unfamiliar with the procedure and essentially asked, “What is this?” He performed his own conventional diagnostics and certified the patient as having good heart health. Just under a year later, the patient suffered a heart attack. Fortunately he survived and received two stents. What fascinates me is that cardisiography had clearly shown a year earlier that the patient’s heart was not in good condition.

Another case: a 57-year-old man, a bodybuilder type, extremely well trained. He had already received two stents and believed his heart was in perfect condition. However, the measurement revealed severe circulatory disorders—progression of his coronary heart disease. After further examinations he received additional stents. Without the abnormal result in the cardisiography, he probably would not have lived to see the next Christmas.

A third remarkable patient case involves an 80-year-old hairdresser—a prime example of how much people can do for their own health. He has always been very active, has practiced Reiki for decades, pays close attention to his diet and health, and has taken dietary supplements for 40 years to optimize his values. He came to my practice feeling very fit and healthy. He had never expected to have heart disease. Through cardisiography we discovered a dangerous circulatory disorder—a problem that might otherwise have been detected far too late. He required three stents and even a new heart valve to stabilize his heart again.

It frustrates me enormously that policymakers fail to recognize the opportunities of prevention—even if only to save billions in treatment costs—for the sake of my patients as well. I run a private practice. With a statutory insurance contract I would not be able to ‘survive.’ However, more than 50 percent of my patients are publicly insured. They pay for private treatment, including cardisiography, themselves because they appreciate my commitment to preventive healthcare. I am available to my patients 24/7, work fully digitally, including through an app, and even make house calls. For that I receive just €3.58 in travel allowance.

When I think about politicians and health insurance funds, I often ask myself: ‘Are they trying to make a fool of me?’ Private physicians are considered the ‘idiots of the nation.’ Everyone thinks we wake up in the morning wondering which of our three Porsches we should drive today. What nonsense. In 1996 we received 20 Deutsche Mark for ten minutes of consultation—today it is €10.72. Any lawyer would laugh at such an adjustment in fees. For us, however, this has been reality for 30 years, even though our costs keep rising.

I love my profession, and if I did not have this passion for medicine and for people, I would not do all of this. I am now 66 years old and hope that God will continue to be kind to me so that I may help people for many more years. At the same time, I hope that prevention in Germany will finally be compensated better—that all health insurers will pay for modern and meaningful examinations such as cardisiography, and that doctors will finally receive better remuneration for their commitment to prevention. Because smart prevention, such as the early detection of heart disease, not only saves lives but can also avoid enormous costs for treatments and heart surgeries.”

Dr. med. Werner Koch
General Practitioner, 54584 Jünkerath, Germany (https://privatpraxis-dr-koch.de/leistungen/cardisiographie/)
April 2026

“Cardisiography is a great opportunity for the early detection of circulatory disorders.”

Cardisiography can save lives. I am firmly convinced of that. The examination represents a major opportunity for the early detection of circulatory disorders, particularly coronary heart disease (CHD), and it can help prevent sudden cardiac death.

“The heart attack came out of the blue.” I have heard this sentence countless times from patients and their relatives. But that is not really the case. Unfortunately, heart diseases are usually only felt when they are already far advanced. In order to care for my patients even better, I have been offering cardisiography in my practice since July 2021. The detailed results provide a rapid and reliable assessment of heart health.

We have already performed more than 5,000 examinations. More than 200 findings were highly abnormal. Many of these were incidental findings—most often pronounced coronary heart disease, even though the patients had not previously complained of any symptoms and the condition could not have been detected with a conventional ECG. Many of those affected required several stents. Among them were also two twin brothers (51 years old). Due to severe arterial calcification, each of them required three stents. Cases like these move me deeply as a physician. At the same time, patients often tell me after the procedure that they are grateful that help arrived in time—before a sudden cardiac arrest could have occurred.

For the sake of patients, I would like to see cardisiography covered by all health insurance providers, because it allows heart disease to be detected and treated at an early stage.

Dr. med. Milan Dinic
Specialist in Internal Medicine and Cardiology, Sports Medicine Physician, Expert in Stress Medicine/Psychocardiology, General Practitioner
Practice Dr. Drinic, Munich, Germany: www.dr-dinic.de

“Thanks to cardisiography, patients with abnormal findings can quickly be referred for further diagnostics and treated in a targeted manner.”

About three years ago, a medical colleague introduced me to cardisiography. The fact that vectorcardiography—which every physician learns about during medical school—can finally be applied so easily impressed me greatly. The three-dimensional view of the heart’s electrical activity gives physicians a magnifying-glass effect: cardiac abnormalities can be detected much earlier—years before symptoms would appear. As a result, patients with abnormal findings can quickly be referred for further diagnostics and treated in a targeted way.

Due to the highly precise results, we replaced the conventional ECG with cardisiography in my practices in Hamburg and Hanover in 2022. To put this into perspective: when it comes to the early detection of coronary heart disease (CHD)—the most common cause of heart attacks—a resting ECG in asymptomatic patients has a detection rate of about 25 percent, while a stress ECG in stable CHD achieves at most 50 to 60 percent. As a physician, you might almost roll the dice. For me, that is not modern cardiology.

Another example: with cardiac ultrasound, around 30 percent of patients can only be assessed very limitedly—what kind of screening tool is that? Yet patients rely on it.

No diagnostic method can achieve 100 percent certainty, regardless of the disease. There is no such thing as 100 percent diagnostic accuracy in medicine—we only have that at birth and death. Achieving an accuracy close to 95 percent, as we do with cardisiography in CHD diagnostics, is excellent—a huge quantum leap.

So far, we have performed around 5,500 cardisiographies at various locations. We regularly encounter incidental findings that require rapid further diagnostics and therapy. We then guide these patients through the next steps. At the same time, we can relieve many worried women and men with suspected heart pain of their fears through this examination. The four-minute measurement does not require a six-month waiting time—appointments are usually available within just a few days. Often we can quickly give the all-clear and determine that heart disease is not the cause of the symptoms. The evaluation—easy for everyone to understand, with traffic-light-colored graphics—gives patients additional certainty. If the result is green, there is no circulatory disorder in the heart.

What frustrates me as a physician is that cardisiography is still not covered by most statutory health insurance providers, even though it is highly precise, risk-free, and inexpensive. The German Bundestag is currently discussing the draft of the Healthy Heart Act, but innovative diagnostic examinations will likely not be included. Other countries handle this much better. It is therefore no surprise that Germany ranks among the laggards in Europe when it comes to preventive medicine.

Germany is oriented toward illness, not health—we have “sickness funds” rather than health funds. There is hardly any shortage of innovation in diagnostics or physicians who are convinced of the benefits of these examinations. The problem lies in bureaucracy and the barriers within politics and the health insurance system. Meaningful, modern diagnostics are sometimes rejected across the board—at least that is my impression—because long-term studies are not yet available. As a physician, I would like doctors at health insurance companies to make evidence-based decisions about which examinations are useful and should be covered, rather than lawyers or business administrators.

Men and women suspected of having CHD are therefore still often sent for cardiac catheterization instead of first undergoing cardisiography. I have been trying to advocate for my patients for years—without success. Health insurers would rather pay several times more for a cardiac catheter examination that has been shown to be necessary in only about 30 to 40 percent of cases—an enormous waste of money. Moreover, cardiac catheterization is not without risk. Some patients, for example, suffer a stroke afterward. The avoidable follow-up treatment costs insurers enormous sums of money, while patients and their families often face severe emotional, physical, and frequently financial burdens.

Cardisiography is a reliable tool for the early detection of heart disease. It makes everyday practice easier for us physicians and provides patients with quick and risk-free certainty about their heart health.

PD Dr. med. Henning Steen
Specialist in Internal Medicine and Cardiology, Senior Physician for Cardiac Imaging, University of Heidelberg, Germany.
Private Cardiac MRI Practice, Hamburg and Hanover, Germany 
www.herz-mrt-hamburg.de

November 2024

„Cardisiography helps to avoid unnecessary and expensive examinations.“

Cardisiography provides us physicians with indispensable, reliable, and rapid information. It is now impossible to imagine daily practice without this examination. After the first studies by Cardisio, we became the first general practitioner’s practice to offer this diagnostic method. Since 2019, we have been using cardisiography as our standard “ECG.”

For our patients, this examination represents a major opportunity, because heart diseases are often only felt when they are already far advanced. When asymptomatic patients come for a preventive health check, conventional ECG and stress ECG are inaccurate in detecting coronary heart disease (CHD). This is confirmed by German and European cardiology guidelines.

If these examinations reveal abnormalities, physicians can refer patients for a cardiac MRI or cardiac CT scan. However, these procedures are very expensive for health insurance providers and, in some cases, are only available to publicly insured patients as an individual health service (IGeL). In addition, patients often have to wait a long time for an appointment for such examinations.

With around 94 percent accuracy, AI-assisted cardisiography delivers reliable results within just a few minutes. It guides physicians toward the appropriate next steps in diagnostics when abnormalities are detected and thus helps to avoid unnecessary and expensive examinations. The analysis is extraordinarily precise—it is fantastic. When the result is green, patients can feel reassured. If the evaluation indicates cardiac arrhythmias, we subsequently perform a long-term ECG. If it indicates circulatory disorders in the heart muscle, we recommend a cardiac CT scan.

In addition to asymptomatic patients, individuals with various complaints come to our cardiology consultation hours—from fatigue and chest pain to shortness of breath. Even with such specific clinical questions, cardisiography points the way to appropriate further diagnostics within just a few minutes. Performing a stress ECG for all these patients instead would be far too time-consuming and, in practice, far too inaccurate.

Dr. med. Maximilian Lodde
Specialist in Internal Medicine and Cardiology, General Practitioner, Praxis Lodde & Lodde, Münster, Germany
www.lodde-lodde.de

November 2024

„With cardisiography, we can detect and treat heart disease much earlier.“

Cardisiography makes our daily practice much easier because it provides highly precise results very quickly. We use the examination several times a day, as it helps us assess within minutes whether a patient requires further diagnostics and, if so, how urgently. Since 2021, we have performed approximately 2,500 measurements.

To detect circulatory disorders in the heart, a stress ECG has limited diagnostic value. In cardiology, this examination is considered critical when it comes to the early detection of coronary heart disease (CHD). A stress echo would be more accurate, but it is time-consuming and expensive. When cardisiography shows a negative result, we know that no stress echo or other investigations are required. If the examination shows positive findings, combined with my clinical assessment, we quickly coordinate appointments for further, individually appropriate diagnostics.

With cardisiography, I repeatedly encounter moving cases, always patients who did not believe they had heart problems. For example, a pharmacist who shortly afterward received a bypass operation just in time. Or a woman in her mid-50s, slim, healthy, with no risk factors and no symptoms. She came primarily to discuss whether she could stop taking her statins. Her cardisiography result was highly abnormal. Two weeks later, she received a stent for severe heart stenosis. Since she had no symptoms—as is often the case with heart disease—we would never have detected the stenosis so early without cardisiography.

Dr. med. Klaus Remde
Specialist in Internal Medicine, Cardiology and Pulmonology
Private Internal Medicine Practice for Heart and Vascular Disease, Heidelberg, Germany
www.praxis-dienerowitz.de

November 2024

„Cardisiography is a meaningful and valuable examination that I no longer want to miss in primary care.“

„Die Cardisiographie ist eine sinn- und wertvolle Untersuchung, die ich in der hausärztlichen Versorgung nicht mehr missen möchte. Wir nutzen sie seit 2022, zur allgemeinen Herz-Vorsorge, zur Früherkennung der KHK, aber auch zur Kontrolle von Herzerkrankungen wie zum Beispiel der Herzschwäche (Herzinsuffizienz). Auch wenn Patienten über ein Engegefühl oder Schmerzen in der Brust (Stenokardien) klagen, setzen wir die Cardisiographie zur Diagnostik ein. Sinnvoll finde ich sie auch für Patienten, die keine Ergometrie machen können oder für die der Weg zum Kardiologen recht weit ist.

Aus meiner Erfahrung ist diese Diagnostik sehr genau, also eher zu vorsichtig, als dass man mit falsch negativen Befunden rechnen müsste. Wir konnten damit schon einige Patienten herausfischen, die im Rahmen der Früherkennung eine Cardisiographie erhalten haben, keine Symptome hatten, dann aber einer zügigen weiteren Diagnostik zugeführt wurden und nun auf eine Maßnahme an ihren Herzkranzgefäßen zurückblicken, die sie schützt.

Was mich immer wieder beeindruckt: Wenn ein Patient mit Engegefühl hinter dem Brustbein vor mir sitzt, die Cardisiographie auffällig ist und wir Nitro-Spray geben, welches die Blutgefäße erweitert und sich die Farben in der Kontrolluntersuchung nach wenigen Minuten von vormals rot heller gefärbt haben oder mitunter sogar gelb oder grün geworden sind. Da steht das Ergebnis für sich – das bestätigt den Verdacht auf eine akute Verengung der Herzkranzgefäße und führt zur schnellen Einleitung einer Therapie.

Die Erstellung der Messung ist einfach. Die Ergebnisse sind für die Patienten schön und nachvollziehbar mit farbigen Grafiken aufbereitet. Leider wird die Messung in Schleswig-Holstein noch nicht von den gesetzlichen Krankenkassen übernommen und auch einige private Kassen tun sich mit der Kostenübernahme sehr schwer, auch wenn das aus meiner Sicht unbegründet ist. Wir bieten die Cardisiographie daher auch als Selbstzahlerleistung an, was zunehmend positiv angenommen wird.“

Dr. med. Jörg Sandmann
Specialist in General Medicine and Urology, Practice at Dreilingsberg and Practice on Priwall, Lübeck, Germany
www.arzt-travemuende.de

November 2024

„As physicians, we can rely on the results of cardisiography—completely unlike a conventional ECG.“

“I have over 40 years of experience in cardiology and have just returned from a medical congress in India. In one lecture, I presented to cardiologists from around the world the opportunities offered by cardisiography. For many years, I have been an expert in a gentle, non-invasive treatment method for people with coronary heart disease: ECP therapy. This procedure activates the body’s natural bypass circuits, improving circulation, and is now recognized as an effective alternative to bypass surgery and stents.

We monitor the success of this therapy using cardisiography. In addition, we use this special examination for preventive care and early detection of heart problems. In my practice, cardisiography has been the “standard ECG” for three years. To date, we have performed around 1,500 measurements.

I value this method because it provides patients with very rapid and highly accurate heart diagnostics. At the same time, it saves us physicians a great deal of time during screening, and we can rely on the results—completely unlike a conventional ECG.

With cardisiography—through the 3D vector ECG and AI-based analysis—we obtain a much more comprehensive diagnostic picture than with a conventional ECG. Using five electrodes, cardisiography evaluates approximately 300 heartbeats during the four-minute measurement. For each heartbeat, about 290 parameters—such as the electrical potential of the T-wave, the direction of excitation propagation in space, angles, and areas—are calculated and analyzed using artificial intelligence. You will never achieve this level of precision with a normal ECG.

What was my most moving case with cardisiography? I don’t have to think twice. It was my neighbor. He was feeling unwell and came to my practice. The cardisiography revealed a highly abnormal finding. I referred him to the hospital for a cardiac catheterization. Because his son was turning 50 the next day and planned a big celebration, my neighbor wanted to wait for that day. Unfortunately, he never got to attend the party. I will never forget that.”

Dr. med. Kai Ruffmann
Specialist in Internal Medicine and Cardiology, Private Practice in Baden-Baden, Germany
www.kardiologie-baden-baden.de

November 2024