# iPacemaker Device vs CardioSmart360

The clearest difference is rating: iPacemaker Device at 4.7 against CardioSmart360's 4.0. iPacemaker Device also leads on update cadence (every 4 days vs every 9 months) and review sentiment (28% vs 0%). CardioSmart360's advantage is in-app purchases (none vs 7) and iOS requirement (15.0 vs 17.6). On price, 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. CardioSmart360 asks for nothing beyond the download.

iPacemaker Device holds the better App Store score, 4.7 against 4.0. That said, the two scores are not equally well evidenced: iPacemaker Device has 365 ratings behind it against 4, so its average is the more settled of the two. Written reviews point the same way: 28% of iPacemaker Device's written reviews are positive against 0% of CardioSmart360's.

iPacemaker Device ships an update every 4 days, CardioSmart360 every 9 months. The most recent releases landed on October 10, 2026 and October 3, 2026 respectively.

## The numbers

| Metric | iPacemaker Device | CardioSmart360 |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.7 (365 ratings)](https://appshunter.io/ios/app/ipacemaker-device/id1126088055/reviews)** | [4.0 (4 ratings)](https://appshunter.io/ios/app/cardiosmart360/id6670763200/reviews) |
| Number of ratings | **365** | 4 |
| Positive reviews | **27.9% of reviews** | 0.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 4 days** | Every 9 months |
| Monetization | Free with in-app purchases | **Free** |
| Best chart rank | **#54** | — |
| Size | 218 MB | 27 MB |
| Requires iOS | 17.6 | **15.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 4+ | 17+ |
| Developer | [IPACEMAKER S.R.L.](https://appshunter.io/developer/1780219062) | [American College of Cardiology](https://appshunter.io/developer/502174543) |

## What reviewers say

### iPacemaker Device

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

**Currently charting:** #54 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


### CardioSmart360

[App page](https://appshunter.io/ios/app/cardiosmart360/id6670763200)

This app provides clinicians and patients with interactive 3D visuals, animations, and custom drawing tools to explain complex cardiovascular conditions and treatments. It aims to enhance point-of-care conversations about heart health.

**Highlights:** 3D heart anatomy visuals, Interactive condition animations, Custom drawing and annotation tools, Searchable video library, Pinch-to-zoom functionality, Point-of-care conversation support

**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 CardioSmart360 free?

CardioSmart360 is free to download, with no in-app purchases.

### Which has better reviews, iPacemaker Device or CardioSmart360?

iPacemaker Device is rated higher. iPacemaker Device averages 4.7 out of 5 from 365 ratings, while CardioSmart360 averages 4.0 from 4 ratings.

### Do iPacemaker Device or CardioSmart360 have ads?

Neither iPacemaker Device nor CardioSmart360 shows ads.

### Which is updated more often, iPacemaker Device or CardioSmart360?

iPacemaker Device ships an update every 4 days, and CardioSmart360 every 9 months. Most recently, iPacemaker Device was updated on October 10, 2026 and CardioSmart360 on October 3, 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.*