Mayo Clinic · Rochester, MN

Paul A. Friedman,
M.D.

Betty Knight Scripps–Gura Professor of Cardiovascular Medicine

Cardiac electrophysiologist and inventor at the intersection of medicine, engineering, and artificial intelligence. Pioneering AI-enabled diagnostics, implantable devices, and the future of preventive cardiology.

Dr. Paul A. Friedman
745+
Research Outputs
40+
Biomedical Patents
28+
Years at Mayo Clinic
7
Textbooks Edited
Background

About Dr. Friedman

Dr. Paul A. Friedman is a Professor of Medicine at Mayo Clinic College of Medicine and Science, holding the Betty Knight Scripps–George M. Gura, Jr., M.D. Professorship in Cardiovascular Medicine. He is a dual-trained physician-engineer whose work spans cardiac electrophysiology, artificial intelligence, and medical device innovation.

With over 30 years of professional experience, Dr. Friedman has served as Director of the Cardiac Implantable Device Lab at Mayo Clinic and has been the driving force behind multiple generations of implantable cardioverter-defibrillators, pacing systems, and AI-powered diagnostics now used in clinical practice worldwide.

A prolific inventor recognized as a Minnesota Top Inventor and recipient of the 2022 Mayo Clinic Distinguished Inventor Award, he holds over 40 biomedical patents spanning medical devices, signal processing, remote monitoring, and AI applications in cardiology.

  • BA, Plan II Liberal Arts & BS, Electrical Engineering
    University of Texas at Austin
  • Doctor of Medicine (M.D.)
    Stanford University School of Medicine
    1990
  • Internship & Residency — Internal Medicine
    University of Washington / Stanford University
  • Fellowship — Cardiovascular Medicine
    Mayo Clinic School of Graduate Medical Education
    1996
  • Fellowship — Cardiac Electrophysiology
    Mayo Clinic School of Graduate Medical Education
    1997
  • Joined Mayo Clinic Staff
    Mayo Clinic, Rochester MN
    1998 – Present
Clinical & Research Focus

Areas of Expertise

AI in Cardiology

Developing and validating AI algorithms that detect cardiac dysfunction, atrial fibrillation, amyloidosis, and diastolic dysfunction directly from 12-lead ECGs — enabling screening at population scale.

Cardiac Electrophysiology

Board-certified clinical cardiac electrophysiologist specializing in ablation, arrhythmia management, and nonpharmacologic therapies for complex rhythm disorders.

Implantable Devices & Remote Monitoring

Pioneering work in ICD therapy, cardiac resynchronization, and next-generation extravascular ICD systems. Innovating remote monitoring platforms for proactive cardiac care.

Wearable & Smartwatch ECG

Prospective research on smartwatch-enabled detection of left ventricular dysfunction, bringing passive cardiac surveillance to consumer-grade wearable technology.

Atrial Fibrillation

Deep expertise in AF detection, characterization, and management — spanning clinical care, device-based therapy, ablation, and AI-powered screening strategies.

Preventive Cardiology

Integrating AI-enabled risk models into preventive medicine visits to surface subclinical cardiac disease before symptoms emerge, fundamentally shifting the care paradigm.

Recognition

Awards & Honors

Distinguished Inventor Award
Mayo Clinic · 2022
Minnesota Top Inventor
State of Minnesota
Bright Idea Award for Innovation
Mayo Clinic
Leading Change Academic Award
Harvard Business School
Board Reviewer, European Heart Journal
European Society of Cardiology
Betty Knight Scripps–Gura Professorship
Mayo Clinic College of Medicine
Research Output

Recent Publications

Fetching latest publications from PubMed…
Innovation

Patent Portfolio

Dr. Friedman holds over 40 issued biomedical patents spanning the full spectrum of cardiovascular medicine and medical device innovation.

Implantable Cardioverter-Defibrillators Cardiac Resynchronization Therapy Signal Processing Remote Monitoring Systems AI / Machine Learning Electrophysiology Mapping Ablation Technology Pacing Algorithms Valvular Heart Disease Wearable ECG Devices Defibrillation Waveforms Epilepsy Treatment Cardiac Risk Prediction Extravascular ICD
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Mayo Clinic · Department of Cardiovascular Medicine · Rochester, Minnesota