AI Scribe for Cardiologists
Heart failure follow-ups, atrial fibrillation visits, post-MI checks, and outpatient echo review — documented in seconds. PatientNotes captures EF%, BNP trends, GDMT titration, and CHA2DS2-VASc reasoning, then maps them to the right CPT and ICD-10 codes.
Documentation for Every Cardiology Visit
From a 15-minute AFib check to a full new-patient HF consult, PatientNotes uses the right structure for the visit.
Heart Failure Management
Captures EF%, NYHA class, JVP/edema exam, BNP/NT-proBNP trends, and GDMT titration (ARNI, beta-blocker, MRA, SGLT2i) with dose changes.
Atrial Fibrillation Follow-up
CHA2DS2-VASc and HAS-BLED scoring, rate vs rhythm decision, anticoagulation review, and ablation candidacy reasoning.
Post-MI Visit
Dual antiplatelet therapy duration, statin intensity, beta-blocker tolerance, cardiac rehab attendance, and LV function reassessment.
Pre-procedure Evaluation
Pre-op cardiac risk (RCRI), functional capacity in METs, antiplatelet/anticoagulant management, and clearance letter to the surgical team.
Pacemaker / ICD Check
Device interrogation summary: battery, lead impedance/thresholds, sensed/paced burden, AT/AF episodes, and shock review.
Outpatient Echo Review
Structured TTE read: chamber sizes, EF, wall motion, valvular gradients/regurgitation, RVSP, pericardium, and clinical correlation.
Cardiology-Specific Features
Built around the language a working cardiologist actually uses — not generic medical English.
GDMT Titration Tracking
Captures the four pillars of HFrEF therapy — ARNI (sacubitril/valsartan), beta-blocker, MRA, and SGLT2 inhibitor — and documents target-dose progress, intolerance, and contraindications visit-over-visit.
Echo & Stress Test Language
Understands LV/RV systolic function, diastolic grade, wall-motion segments, valvular grades (mild/moderate/severe), and stress test interpretation (ischemic threshold, Duke score).
CHA2DS2-VASc / HAS-BLED
Calculates and documents stroke and bleeding risk for atrial fibrillation, with a defensible rationale for the anticoagulation choice (DOAC vs warfarin vs LAA closure).
Cardiology Consult Letter
Generates the referring-PCP letter format many cardiologists prefer over a SOAP note: opening summary, exam, data review, plan, and signed sign-off.
Device Clinic Templates
Pacemaker, ICD, CRT-D, and loop recorder interrogation templates with battery longevity, lead parameters, AT/AF burden, and arrhythmia review.
CPT 93306 / 93000 / 99214
Suggests echo, ECG, Holter, device interrogation, and the right E&M level (99214 vs 99215) based on documented MDM complexity.
A real day in clinic, before and after
A typical outpatient cardiologist sees 18-25 patients in an 8-hour clinic day. The visits are short and the cognitive load is high — every patient is on four to seven cardiac medications, half of them have an implantable device or a recent imaging study, and the documentation has to support a 99214 or 99215 with clean ICD-10 specificity. The work that bleeds into the evening is almost never the medicine. It is the charting, the consult letters back to primary care, and the prior-auth notes for a SGLT2 inhibitor.
With PatientNotes running in the background, the visit looks the same to the patient. You auscultate, examine the JVP, talk through the BNP trend, decide whether to push the sacubitril/valsartan to target dose. The conversation is the documentation. By the time the patient is checked out, the SOAP note and the consult letter to the referring PCP are drafted and waiting for your signature. Most cardiologists who switch from Dragon say the biggest change is the eye contact — they stop turning to the screen.
The model is tuned for cardiology. It knows that "EF 35 down from 40" is meaningful, that an S3 in a known HF patient changes the plan, and that "CHA2DS2-VASc of 4" is a real number that has to land in the assessment. Notes are typically ready 30-90 seconds after the visit ends, which is fast enough to review and sign before the next patient knocks.
Sample AI-Generated Cardiology Note
An actual HFrEF + AFib follow-up the model would produce. Real meds, real labs, real CPT/ICD mapping.
CARDIOLOGY FOLLOW-UP — Heart Failure / Atrial Fibrillation
Date: 04/22/2026 | CPT: 99214 | Add-on: 93306 (TTE w/ Doppler, performed in office)
SUBJECTIVE:
72-year-old male with HFrEF (LVEF 32% on TTE 11/2025) and persistent atrial
fibrillation, returns 8 weeks after his last visit. Reports improved exertional
dyspnea — now climbs one flight of stairs without stopping (was half a flight).
NYHA Class II, down from III. Denies orthopnea, no PND in 4 weeks. Weighs daily;
weight stable around 84 kg, no >2 kg gains. No palpitations, no presyncope, no
chest pain. Adherent to medications, tolerating uptitration.
PMH: HFrEF (ischemic cardiomyopathy, prior LAD PCI 2022), persistent AFib
(diagnosed 2024), HTN, T2DM, CKD stage 3a (baseline Cr 1.4), dyslipidemia.
Medications (reconciled today):
- Sacubitril/valsartan 49/51 mg BID (target 97/103 BID — uptitrated last visit)
- Metoprolol succinate 50 mg daily (target 200 mg — HR-limited)
- Spironolactone 25 mg daily
- Empagliflozin 10 mg daily
- Apixaban 5 mg BID
- Atorvastatin 40 mg nightly
- Furosemide 40 mg daily
OBJECTIVE:
Vitals: BP 118/72, HR 68 (irregular), RR 14, SpO2 97% RA, Wt 84.1 kg.
General: Comfortable, no acute distress.
Neck: JVP estimated at 7 cm, no hepatojugular reflux.
Lungs: Clear bilaterally, no crackles or wheeze.
Cardiac: Irregularly irregular rhythm. S1 normal, S2 split appropriately.
No S3 today (had soft S3 last visit). Soft 2/6 holosystolic murmur
at apex (chronic, consistent with functional MR). No rub.
Abdomen: Soft, non-tender, no hepatomegaly.
Extremities: Trace pretibial edema bilaterally (down from 1+).
Distal pulses 2+ symmetric.
DATA:
- BNP 312 pg/mL today (was 540 at last visit — improving).
- BMP: Na 138, K 4.4, Cr 1.5, eGFR 48, BUN 28. Stable from baseline.
- Hgb 12.8, INR not applicable (on apixaban).
- 12-lead ECG today: AFib at 68, no acute ST/T changes, QRS 96 ms.
- TTE performed in clinic today (CPT 93306):
* LVEF 38% (up from 32% — improving on GDMT)
* Mild LV dilation, mild concentric remodeling
* RV size and function normal
* Mild MR (down from moderate), trace TR, RVSP 28 mmHg
* No pericardial effusion. LA dilated (consistent with chronic AFib).
ASSESSMENT:
1. HFrEF, NYHA II — improving. EF up from 32% to 38% on optimized GDMT.
BNP trending down. Patient clinically euvolemic.
2. Persistent atrial fibrillation, rate-controlled (HR 68 today).
CHA2DS2-VASc 5 (HF, HTN, DM, age >65, prior stroke=no) — anticoagulated.
HAS-BLED 2 — acceptable bleeding risk on apixaban.
3. CKD stage 3a — stable, eGFR 48. Tolerating sacubitril/valsartan and SGLT2i.
4. T2DM — on empagliflozin (dual indication: HF + DM). A1c due in 6 weeks.
5. Dyslipidemia on high-intensity statin.
PLAN:
1. HF: Continue current GDMT. Increase sacubitril/valsartan to target
97/103 BID over next 2 weeks (BP supports it; renal function stable).
Hold spironolactone uptitration — K already 4.4, will reassess.
Continue empagliflozin 10 mg daily.
2. AFib: Continue rate-control strategy. Heart rate well controlled; no
ablation indication at this time. Continue apixaban 5 mg BID.
Confirmed dose appropriate (no dose-reduction criteria met).
3. CKD: Repeat BMP in 2 weeks after sacubitril/valsartan uptitration.
4. Cardiac rehab: completed Phase II. Encouraged to continue daily walking.
5. Vaccines: Influenza done in fall. Pneumococcal up to date.
6. Follow-up: 12 weeks. Repeat BNP, BMP, A1c at that visit. Repeat TTE in
6 months to confirm sustained EF recovery.
Suggested ICD-10: I50.22 (chronic systolic HF), I48.21 (chronic AFib),
I25.10 (CAD), N18.30 (CKD 3a), E11.9 (T2DM), E78.5 (dyslipidemia).
Suggested CPT: 99214 (E&M, moderate MDM), 93306 (echo TTE w/ Doppler).Intelligent ICD-10 Suggestions
The codes most cardiology practices bill on a daily basis — surfaced from the documentation, not guessed.
I50.22Chronic systolic (congestive) heart failureI50.23Acute on chronic systolic heart failureI48.0Paroxysmal atrial fibrillationI48.91Atrial fibrillation, unspecifiedI25.10Atherosclerotic heart disease, native vessel, no anginaI21.4Non-ST elevation (NSTEMI) myocardial infarctionI10Essential (primary) hypertensionE11.9Type 2 diabetes mellitus without complicationsThe AI suggests relevant codes based on what you actually documented. You review and confirm — there is no auto-billing.
Cardiologists using PatientNotes today
Three composite stories drawn from real onboarding interviews. Names changed, details preserved.
Dr. Anita Rao
Solo cardiologist, Phoenix AZ — 4-day clinic, 2 hospital rounds
Anita does her own echos and writes her own consult letters. Before PatientNotes she was finishing notes between 8-10 PM most nights. She runs PatientNotes on her iPad during the visit and now leaves the office with notes signed. She uses the consult-letter template, edits maybe two sentences per note, and pastes into her practice management system. The $50/month price meant she did not have to ask her partner about the budget.
Dr. Marcus Chen
Mid-size group, 7 cardiologists, Pittsburgh PA
Marcus and his partners had a Suki demo and were quoted around $4,800 per clinician per year. They piloted PatientNotes for 30 days first and the group voted unanimously to keep it. Marcus uses the heart failure and AFib templates the most. The group customized one shared "post-MI" template that puts DAPT duration, statin intensity, and cardiac rehab status in the same place every time so their NPs can review at a glance.
Dr. Emily Voss
Hospital-employed, large academic system, Boston MA
Emily's system has Nuance DAX rolled out for primary care but had not extended it to cardiology. She uses PatientNotes for her outpatient echo clinic, where each visit is short and the documentation is repetitive. She pastes the structured echo read into Epic Cupid and saves about 90 minutes a day. Her department now lets new fellows trial PatientNotes during their continuity clinic.
Coming from Microsoft Dragon Medical One?
Dragon Medical One has been the dictation standard in cardiology for two decades. It is mature, EHR-integrated, and many cardiologists are very fast with it. The newer Microsoft Dragon Copilot adds ambient capture on top. Both are real products — but the workflow is different from PatientNotes.
Dragon Medical One
- •Dictation: you talk to the microphone, the words appear in the EHR.
- •Mature voice profile — 99% accuracy after a few weeks of training.
- •$99-$200/month per clinician for Dragon Medical One; Dragon Copilot adds ambient at higher tiers.
- •Strong Epic / Cerner integration via the Dragon plug-in.
- •You still write the note structure; Dragon just types it for you.
PatientNotes
- •Ambient: you talk to the patient, the note writes itself.
- •No voice training. Works on day one.
- •$50/month flat — no per-encounter fees, no enterprise minimums.
- •No EHR integration required — copy/paste workflow, ready in hours.
- •Generates the SOAP/consult-letter structure for you, including assessment and plan.
How to switch in three steps
Sign up and run a parallel day
For one full clinic day, record encounters in PatientNotes while still using Dragon as your primary. Compare the two notes side by side at the end of the day.
Customize one cardiology template
Pick your highest-volume visit type (most cardiologists pick HF follow-up or AFib follow-up) and customize the template so the assessment/plan section matches your dictation style.
Cancel Dragon when you are ready
Most cardiologists are off Dragon within 5-7 days. Keep it as a backup for the first month if you want — they do not conflict.
PatientNotes vs Suki.ai and Nuance DAX
Suki and Nuance DAX (now part of Microsoft Dragon Copilot) are the two enterprise AI scribes most often pitched to cardiology groups. We have lost deals to both and we have won deals against both. Here is the honest read.
| Feature | PatientNotes | Suki / DAX |
|---|---|---|
| Monthly price (per clinician) | $50 | $250-$400 |
| Setup time | Same day | 4-12 weeks |
| Contract | Month-to-month | Typically 12-month minimum |
| Cardiology templates | HF, AFib, post-MI, device, echo, pre-op | Available, often custom-built per practice |
| GDMT titration tracking | Yes | Yes |
| Echo / stress language fluency | Yes | Yes |
| Epic write-back integration | Copy/paste | Direct (App Orchard) |
| Best fit | Solo, small/mid group, 1-25 clinicians | Large health system already in Epic ecosystem |
If your hospital has already paid for DAX or Suki and integrated it into Epic, use that. The marginal benefit of switching is small. If you are independent or in a group of 1-25 cardiologists, PatientNotes is almost always the right answer — the price difference alone funds a part-time MA.
Frequently Asked Questions
Real questions from cardiology onboarding calls.
Does PatientNotes work for cardiology?
Yes. PatientNotes is used by general cardiologists, electrophysiologists, and heart failure clinicians. The model is tuned for cardiology language, so it correctly captures GDMT titration (guideline-directed medical therapy: ARNI/beta-blocker/MRA/SGLT2i), CHA2DS2-VASc and HAS-BLED scoring, NYHA functional class, and structured echo findings (EF, RVSP, valvular grades). It outputs SOAP notes, consult letters to the referring PCP, and procedure summaries for device clinic visits.
How much does an AI scribe cost for cardiology?
PatientNotes is $50 per clinician per month, billed monthly with no per-encounter fees. Suki and Nuance DAX (now part of Microsoft Dragon Copilot) typically run $250-$400 per clinician per month for cardiology, often with a 12-month enterprise contract and an implementation fee. For a cardiologist seeing 25 patients per day, the difference is roughly $2,400-$4,200 per year.
Is Suki or Nuance DAX better than PatientNotes for cardiology?
Suki and DAX are mature products with deep Epic integration, which matters if your hospital mandates a specific EHR workflow. PatientNotes is materially cheaper, deploys in hours instead of weeks, and produces equivalent-quality cardiology notes in side-by-side reviews we run with practicing cardiologists. If you are independent or in a small group, PatientNotes is usually the better fit. If you are employed by a large health system that has already paid for DAX, use what your system pays for.
Can cardiology-specific notes be auto-generated?
Yes. PatientNotes ships with cardiology templates for heart failure follow-up, atrial fibrillation management, post-MI visit, pre-procedure evaluation, pacemaker/ICD interrogation summary, and outpatient echo review. You can also create custom templates that mirror your dictation style — for example, a structured "Plan" section that always lists GDMT changes first, then anticoagulation, then risk-factor modification.
Does it integrate with Epic and athenahealth for cardiology?
PatientNotes works alongside Epic, Cerner, athenahealth, eClinicalWorks, and any cardiology-specific module like Epic Cupid. The note is generated in PatientNotes and pasted or copied into your EHR using a one-click copy. We do not require a write-back integration, which is what lets us deploy in a day instead of the 6-8 weeks an Epic App Orchard integration takes.
Will it help me bill cardiology CPT correctly?
PatientNotes suggests E&M codes (99213-99215) based on the documented MDM (medical decision making) complexity, and surfaces commonly missed cardiology codes such as 93306 (transthoracic echo with Doppler), 93000 (12-lead ECG), 93010 (ECG interpretation only), 93225-93227 (Holter), and 93279-93284 (device interrogation). It does not auto-bill — you review and confirm each code, which is the safe and audit-defensible pattern.
How do I switch from Dragon Medical One to PatientNotes?
Three steps. First, sign up at patientnotes.ai and complete the 5-minute clinician onboarding. Second, run PatientNotes in parallel with Dragon for one clinic day — record the encounter in PatientNotes, then dictate with Dragon as you normally would. Compare the notes and decide which feels closer to your style. Third, when ready, retire Dragon. Most cardiologists make the switch in under a week. Dragon is dictation; PatientNotes is ambient — you stop talking to a microphone and just talk to the patient.
Is it HIPAA compliant for cardiology?
Yes. PatientNotes is HIPAA compliant, signs a Business Associate Agreement (BAA) with every practice on request, and encrypts audio and notes at rest and in transit. Audio is processed and discarded — we do not retain recordings beyond the time needed to generate the note. Patient identifiers are minimized in the prompt sent to the language model. We do not train models on your data.
See more patients. Finish notes before you leave the clinic.
Cardiologists on PatientNotes save 90 minutes to two hours of charting per day, which is the difference between dinner with the family and signing notes at 9 PM.
No credit card required. $50/month after trial. Cancel anytime.