Eko vs Monroe County MCA
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Eko
This app enhances patient exams by detecting heart and lung conditions early. It records and analyzes sounds, builds patient profiles, and generates shareable reports. Compatible with digital stethoscopes for seamless integration into clinical workflows.
- Detect structural murmurs
- Flag AFib, tachycardia, bradycardia
- Guided heart and lung exams
- Wireless audio playback
- Auto-connect to stethoscope
- Record and save sounds/ECG
- Build patient profiles
- Generate PDF reports
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The Eko App turns every patient encounter into an early detection opportunity for heart and lung disease. It fits seamlessly into your physical exam workflow when connected to a compatible digital stethoscope. Use the Eko App to: - Flag the presence of structural murmurs in as little as 5 seconds. - Flag the presence of AFib*, tachycardia, and bradycardia. - Run guided, multi-point exams to systematically assess a patient’s heart and lung sounds. - Listen wirelessly through a Bluetooth-enabled audio device. - Auto-connect to your stethoscope to capture recordings while keeping your phone tucked away. - Play back, annotate, and save stethoscope sounds and ECG*. - Build patient profiles to flag changes in a patient's condition across visits. - Organize exam data by room number, follow-up status, recording source, or any custom label. - Securely store exam recordings for future reference. - Generate and share PDF reports or a direct link to a recording with trusted colleagues or upload to compatible EHRs. - Aid in medical education and patient engagement. *Available with the CORE 500™ Digital Stethoscope. Select features may require a paid Eko+ membership and feature availability may vary by country. Visit ekohealth.com to learn more about compatible devices. Have questions or feedback? Contact us at support@ekohealth.com. The Services are for informational purposes only and should not replace advice from a licensed healthcare provider for any medical condition or treatment. Please consult a licensed and qualified health care provider before making any medical decisions. Use of this app is subject to the Apple Media Services Terms and Conditions and Eko's Terms of Service. Apple Media Services Terms and Conditions: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Eko's Terms of Service: https://support.ekohealth.com/hc/en-us/articles/13156765697563-Terms-of-Service Eko's Privacy Policy: https://support.ekohealth.com/hc/en-us/articles/13156748616731-Privacy-Policy
Monroe County MCA
Access emergency medical protocols and supporting materials offline. Quickly search and find protocols with indexed lookup and a favorites tab. Stay updated with the latest information and add custom notes to entries.
- Offline protocol access
- Indexed protocol lookup
- Search titles and text
- Favorites tab
- Customizable notes
- Up-to-date information
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Monroe County MCA is an app that provides quick offline access to the Monroe County Medical Control Authority EMS protocols and supporting materials. Features include: •Quick indexed lookup of protocols in a matter of seconds •Search titles and text •Favorites tab for quick access of what's important to you •Updated shortly after new protocols are posted online making it more up-to-date than most printed protocol manuals •Customizable notes for each individual protocol entry •Always with you as long as you have your device and never fades or tears
Screenshots
Verdict
The clearest difference is in-app purchases: Monroe County MCA at none against Eko's 2. Monroe County MCA also leads on iOS requirement (15.0 vs 18.0). Eko's advantage is update cadence (fortnightly vs every 7 months) and ratings volume (11K vs 1). On price, rating, ads and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Eko sells 2 in-app purchases, starting at $12.99 per month. Monroe County MCA asks for nothing beyond the download.
On the App Store both sit at effectively the same score — 4.9 for Eko against 5.0 for Monroe County MCA. That said, the two scores are not equally well evidenced: Eko has 11K ratings behind it against 1, so its average is the more settled of the two.
Eko ships an update fortnightly, Monroe County MCA every 7 months. The most recent releases landed on November 11, 2026 and November 2, 2026 respectively.
| Parameter | Eko | Monroe County MCA |
|---|---|---|
| Price | Free | Free |
| Rating | 4.9 (11K ratings) | 5.0 (1 ratings) — better |
| Positive reviews | 51.4% of reviews | — |
| Number of ratings | 11K — better | 1 |
| Update frequency | Fortnightly — better | Every 7 months |
| Ads | No | No |
| In-app purchases | Yes | No — better |
| Monetization | Free with in-app purchases | Free — better |
| Best chart rank | #6 — better | — |
| Devices | iPhone, iPad | iPhone, iPad, iPod — better |
| Requires iOS | 18.0 | 15.0 — better |
| Further details — not scored | ||
| Size | 159 MB | 28 MB |
| Age rating | 17+ | 17+ |
| Developer | Eko Health, Inc. | Acid Remap LLC |
Customer experience
Eko
Monroe County MCA
Bugs and requests
Eko
Reported bugs
3 issues- Inconsistent heart rate detection
- Inability to save/playback recordings
- Frequent error messages during use
Requested features
4 requests- Apple Watch app integration
- Independent volume control for heart/lung modes
- Ability to save/share recordings without subscription
- Improved background noise cancellation
Monroe County MCA
Not enough reviews yet to summarise bugs or requests.
In-app purchases
Eko
- Eko+ Monthly Membership14 Days trial$12.991 Month
- Eko+ Annual Membership14 Days trial$119.991 Year
Monroe County MCA
No in-app purchases
