# pEcho

> Perioperative TEE decision support tool for anesthesiologists and providers. (iPhone/iPad app by Vanderbilt University.)

- Source: https://appshunter.io/ios/app/pecho/id1053939412 (this page in markdown: same URL + `.md`)
- Developer: [Vanderbilt University](https://appshunter.io/developer/353785823)
- Category: Medical, Reference
- Price: $4.99
- Rating: 5.00/5 from 1 App Store ratings · 2 written reviews indexed
- Age rating: 17+
- Requires: iOS 7.0 · 25 MB
- Languages: American English
- Released: 2016-03-28
- Data updated: 2026-07-04
- Monetization: paid
- User reviews in markdown: https://appshunter.io/ios/app/pecho/id1053939412/reviews.md

## What is pEcho?

Perioperative Echo (pEcho) is an evidence based, procedure oriented decision support tool aimed at anesthesiologists and other providers performing transesophageal echocardiography (TEE) in the perioperative setting.

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This app is organized by procedures. If you're starting an aortic valve replacement surgery, open the aortic valve section and start inputing values to assess the severity of the aortic valve pathology. These values can be used to calculate valve area and even troubleshoot replacement valves. Levels of evidence based off of publications from Journal of American Society of Echocardiography (JASE) and American Heart Association (AHA), are listed within the app.

The app includes the following sections and metrics:

Aortic valve replacement/repair:
Aortic stenosis: peak velocity, mean gradient, valve area via continuity equation, dimensionless index (DVI)

Aortic regurgitation: vena contracta, pressure half-time, jet diameter to LVOT diameter %

- Much more, including an evidence based decision support tool for determining if a heart valve should be replaced.

Mitral valve replacement/repair:
Mitral regurgitation
- Vena contracta
- Estimated regurgitant orifice area via PISA
- Regurgitant volume
- Regurgitant fraction

Mitral stenosis
- Mean gradient
- Valve area via pressure half-time
- Estimated orifice area via PISA
- Much more, including an evidence based decision support tool for determining if a heart valve should be replaced.

Coronary artery bypass:
- LV wall motion interactive tool with corresponding coronary artery distribution
- Right ventricular fractional area change
- Diastology tools

Rescue TEE (Non-cardiac TEE)
Images and instructions on how to diagnose the following:
- Myocardial ischemia
- Pulmonary embolism
- Aortic dissection
- Tamponade
- Hypovolemia
- Dynamic outflow obstruction

Echo Log:
- Record your TEE exams performed and reviewed
- Browse and edit your log
- Email your log as a excel file

## Key features

- Procedure-oriented decision support
- Metrics for aortic and mitral valve procedures
- Coronary artery bypass tools
- Rescue TEE diagnostics
- Echo Log for exam recording
- Evidence-based guidelines

## Recent user reviews (2 of 2)

All indexed reviews: https://appshunter.io/ios/app/pecho/id1053939412/reviews.md

### 5/5 — Wonderful for intraop Anesthesia use

*2018-12-21*

Great app with JASE guidelines for CABG, mitral and aortic Valve replacement TEE data. It’s definitely my go to for reminders of guidelines and also a great TEE log!

### 5/5 — Perfect for an Anesthesiologist

*2016-03-31*

I'm an anesthesiologist in a busy practice. I don't get to do cardiac cases everyday, so I find this app particularly helpful. 

The most useful features are the calculations and classification of mild, moderate and severe valvular lesions. 

The algorithms for valve replacements are awesome and they are evidence based and reflect the latest AHA guidelines. 

The wall motion tool does a nice job correlating wall motion abnormalities with coronary distribution. 

Overall a great app. I hope they add even more procedures in the future.

## Frequently asked questions about pEcho

### What is pEcho used for?

pEcho is an evidence-based, procedure-oriented decision support tool designed for anesthesiologists and other providers who perform transesophageal echocardiography (TEE) in the perioperative setting. It helps assess the severity of valve pathologies and provides diagnostic tools for emergencies.

### What specific procedures does pEcho cover?

pEcho covers aortic valve replacement/repair, mitral valve replacement/repair, and coronary artery bypass procedures. It also includes sections for rescue TEE to diagnose conditions like myocardial ischemia, pulmonary embolism, and tamponade.

### Can I track my TEE exams with pEcho?

Yes, pEcho includes an Echo Log feature where you can record, browse, and edit your TEE exams. You can also email your log as an Excel file for further analysis or record-keeping.

### What is the evidence basis for pEcho's recommendations?

The levels of evidence within pEcho are based on publications from the Journal of American Society of Echocardiography (JASE) and the American Heart Association (AHA), ensuring recommendations are grounded in current research.

### What devices does pEcho support?

pEcho is available for iPhone, iPad, and iPod devices, making it accessible on a range of Apple mobile platforms.

### How often is pEcho updated?

The latest version of pEcho is 1.2, which was last updated on April 14, 2016. This indicates the app has not received recent updates.

### What is the age rating for pEcho?

pEcho has an age rating of 17+, suggesting it is intended for adult medical professionals due to the complex nature of the information it provides.

### Does pEcho have ads?

No, pEcho does not contain advertisements. As a paid application, it offers an ad-free experience for its users.

## Version history (last 3 releases)

### 1.2 — 2016-04-14

This app has been updated by Apple to display the Apple Watch app icon.

Updated numeric keyboard to support internationalization, specifically cultures that use a "," as a decimal point.

### 1.1 — 2016-04-05

Minor typo fixes.
Fixed bug that caused a crash on iPad when sharing procedure data.

### 1.0 — 2016-03-28

No release notes.

## Apps similar to pEcho

| App | Rating | Price | Category |
| --- | --- | --- | --- |
| [TEE Colour Doppler](https://appshunter.io/ios/app/tee-colour-doppler/id752231916) | 3.0 (2) | $4.99 | Medical |
| [Huppert's Notes Internal Med.](https://appshunter.io/ios/app/hupperts-notes-internal-med/id1593033080) | — | $39.99 | Medical |
| [TEE Report App](https://appshunter.io/ios/app/tee-report-app/id1151149954) | 1.0 (1) | $9.99 | Medical |
| [TEE Views](https://appshunter.io/ios/app/tee-views/id686946866) | 3.7 (9) | $2.99 | Medical |
| [TEE Alternative Views](https://appshunter.io/ios/app/tee-alternative-views/id738646958) | 4.0 (1) | $4.99 | Medical |
| [Point of Care Ultrasound Guide](https://appshunter.io/ios/app/point-of-care-ultrasound-guide/id1457608871) | — | $89.99 | Medical |

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All apps by Vanderbilt University: https://appshunter.io/developer/353785823

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-07-04.*