# iPacemaker Device vs EchoGuide by ASE

iPacemaker Device and EchoGuide by ASE both sit at 4.7 stars, but that hides the real split: 75% of EchoGuide by ASE's written reviews are positive against 28% of iPacemaker Device's. EchoGuide by ASE also leads on in-app purchases (none vs 7) and iOS requirement (14.2 vs 17.6). iPacemaker Device's advantage is update cadence (every 4 days vs monthly) and chart position (#121 vs unranked). On price, rating, ads and device support there is nothing between them.

Both are free to download. iPacemaker Device sells 7 in-app purchases, starting at $9.99 per month. EchoGuide by ASE asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.7 for iPacemaker Device against 4.7 for EchoGuide by ASE. That said, the two scores are not equally well evidenced: iPacemaker Device has 365 ratings behind it against 41, so its average is the more settled of the two. Written reviews are what separate them: 28% of iPacemaker Device's written reviews are positive against 75% of EchoGuide by ASE's.

iPacemaker Device ships an update every 4 days, EchoGuide by ASE monthly. The most recent releases landed on October 10, 2026 and September 29, 2026 respectively.

## The numbers

| Metric | iPacemaker Device | EchoGuide by ASE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.7 (365 ratings)](https://appshunter.io/ios/app/ipacemaker-device/id1126088055/reviews) | [4.7 (41 ratings)](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048/reviews) |
| Number of ratings | **365** | 41 |
| Positive reviews | 27.9% of reviews | **75.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 4 days** | Monthly |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#121** | — |
| Size | 218 MB | 96 MB |
| Requires iOS | 17.6 | **14.2** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 4+ | 12+ |
| Developer | [IPACEMAKER S.R.L.](https://appshunter.io/developer/1780219062) | [American Society of Echocardiography](https://appshunter.io/developer/421031128) |

## What reviewers say

### iPacemaker Device

[App page](https://appshunter.io/ios/app/ipacemaker-device/id1126088055)

**Currently charting:** #121 Top Grossing · Medical (US App Store)

Access a vast database of implantable cardiac devices, including pacemakers and defibrillators. Get detailed technical specifications, connector information, advisories, and MRI compatibility checks. Compare devices and explore algorithms to aid in selection and management.

**Highlights:** Extensive device database, Detailed technical datasheets, Connector and tool information, Advisories and safety warnings, Multibrand MRI compatibility evaluation, Algorithm descriptions, Side-by-side device comparison

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (7)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 month subscription REGULAR | $9.99 | per month |
| 3 Months Subscription | $49.99 | per 3 months |
| 12 months subscription REGULAR | $49.99 | per year |
| 6 Months Subscription | $59.99 | per 6 months |
| 12 Months Subscription | $99.99 | per year |
| 12 months subscription PREMIUM | $109.99 | per year |
| 12 months subscription PREMIUM | $109.99 | per year |

**What reviewers like**

- 👍 Great resource for cardiac rhythm devices
- 👍 App is useful for professionals
- 👍 Some users find it helpful
- 👍 Support team helped some users

**What reviewers complain about**

- 💸 Prohibitively expensive
- 💸 Price increase is steep
- 💸 So expensive for no reason
- 💸 Creator got greedy
- 💸 Subscription fees are ridiculous

**Reported bugs**

- App keeps refreshing, cannot open
- App cannot be opened
- App enters interface and stops, cannot open
- App has not worked for years
- App hasn't worked for days

**Requested features**

- More equitable evaluation of company representation
- Fix app hanging/slow opening
- Update for newer devices
- Grandfather in lifetime members
- Refund original charge for lifetime members


### EchoGuide by ASE

[App page](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048)

This medical app offers over 50 calculators, algorithms, and charts based on key guidelines for cardiac care professionals. It allows users to favorite interactive tools for quick access to a wide range of echocardiography measurements and assessments.

**Highlights:** Over 50 calculators, algorithms, and charts, Based on ASE guidelines, Favorite interactive tools, Cardiac care reference, Echocardiography measurements

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is iPacemaker Device free?

iPacemaker Device is free to download, with in-app purchases available.

### Is EchoGuide by ASE free?

EchoGuide by ASE is free to download, with no in-app purchases.

### Which has better reviews, iPacemaker Device or EchoGuide by ASE?

iPacemaker Device and EchoGuide by ASE are both rated 4.7 out of 5 on the App Store, from 365 and 41 ratings respectively.

### Do iPacemaker Device or EchoGuide by ASE have ads?

Neither iPacemaker Device nor EchoGuide by ASE shows ads.

### Which is updated more often, iPacemaker Device or EchoGuide by ASE?

iPacemaker Device ships an update every 4 days, and EchoGuide by ASE monthly. Most recently, iPacemaker Device was updated on October 10, 2026 and EchoGuide by ASE on September 29, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*