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custo diagnostic tera

Software for Holter ECG

Simple, fast and targeted Holter ECG analysis: with the custo diagnostic tera Holter ECG module. The software enables efficient and intuitive analysis and evaluation of cardiac activity with perfect integration into existing interfaces and everyday treatment.

New: Artificial intelligence assists with the analysis.
In custo diagnostic tera, AI is setting new standards in cardiological diagnostics. Validated* algorithms automatically analyse the extensive ECG data, reliably detect cardiac arrhythmias and mark relevant events – precisely, quickly and with minimal effort for medical professionals.
Full decision-making authority is retained at all times: AI as support, not a replacement.

New: Artificial intelligence assists with the analysis.
In custo diagnostic tera, AI is setting new standards in cardiological diagnostics. Validated* algorithms automatically analyse the extensive ECG data, reliably detect cardiac arrhythmias and mark relevant events.
AI as support, not a replacement.

Screen showing an overview of the custo diagnostic tera software module from custo med.

Product overview

Highlights at a glance

Artificial intelligence

Smart ECG analysis

  • Less time needed for analysis: Important events are filtered from thousands of data points for fast and reliable reporting
  • Automatic detection of arrhythmias with high sensitivity/specificity (99/97%)**
  • Continuous learning and optimisation: Our AI models are constantly being developed and trained to continuously improve diagnostic reliability and recognition rates
Model of a human heart in the foreground, surrounded by ECG lines and an “AI” symbol inside a gear, with blurred medical screens in the background.

Reliable data quality

Precise long-term recording, high signal quality, simple progress monitoring

  • Effective noise filtering and artefact suppression (individually adjustable)
  • Stable and fast transfer from the recorder without data loss, even with long recordings
  • Uncomplicated monitoring of development: display, analyse and compare two examinations of a person at the same time.

Different view types

See clearly what matters

Analyse ECG data precisely while also saving time with various intelligent analysis views

  • Time axis overview, event logs and detailed ECG segments help to quickly recognise relevant cardiac arrhythmias
  • Automatic intelligent labelling of potentially pathological sections and classification into template classes (normal beats, VES, SVES, artefacts)
  • Interactive visualisation: statistical evaluations & histograms, quick access to each time point and display of the associated ECG, comprehensive quick editing options and much more.

Variety of analyses

Comprehensive analysis options

Various forms of analysis help to take a comprehensive look at cardiac activity

  • Heart rate variability
  • Atrial fibrillation analysis
  • Pacemaker analysis
  • ST segment analysis
  • Motion analysis
  • Breathing analysis

Vegetative diagnostics

HRV analysis in detail

Comprehensive options for vegetative diagnostics by analysing heart rate variability (HRV), particularly relevant for assessing stress levels, recovery capacity and regulatory disorders

  • Clearly presented HRV curves, including in comparison to standard values, make interpretation easier
  • Automated analysis and intuitive visualisation without additional effort over the entire recording period
  • Visualise the development over time and daily rhythm: Visualisation of vegetative activity in a day/night comparison

Seamless finish

Fast reporting, secure exchange, reliable archiving

  • Fast diagnosis thanks to automatic analysis and interpretation
  • Preconfigured, customisable findings texts
  • Secure data exchange via standardised interfaces (GDT, HL7, DICOM, PDF/A) directly into the practice or clinic software
  • Reliable archiving of all examinations in the central custo diagnostic platform – audit-proof, completely digital and retrievable at any time

custo holter ABPM

Combined analysis of Holter ECG and ABPM

In addition to holter ECG, custo diagnostic tera can also display the ABPM recorded in parallel. The simultaneous visualisation of both parameters enables a more comprehensive assessment of cardiovascular correlations and supports more precise diagnostics.

custo flash & custo guard holter

Holter ECG recorder for precise signals

Further Information

*Kraft, D.; Bieber, G; Jokisch, P; Rumm, P. End-to-End Premature Ventricular Contraction Detection Using Deep Neural Networks. Sensors 2023, 23, 8573.
*Kraft, D. & Rumm, P. (2025): Atrial Fibrillation and Atrial Flutter Detection Using Deep Learning. Sensors 2025, 25, 4109.
*Kraft, D. & Rumm, P. (2025): Automated Detection of Normal, Atrial, and Ventricular Premature Beats from Single-Lead ECG Using Convolutional Neural Networks. submitted.
**Kraft, D. & Rumm, P. (2025): Atrial Fibrillation and Atrial Flutter Detection Using Deep Learning. Sensors 2025, 25, 4109.

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