# ManageAnticoag vs EchoRef

The clearest difference is update cadence: EchoRef at every 2 months against ManageAnticoag's every 23 months. EchoRef also leads on ratings volume (1.4K vs 7). ManageAnticoag's advantage is iOS requirement (13.0 vs 26.0). On price, rating, review sentiment and ads there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 4.9 for ManageAnticoag against 4.9 for EchoRef. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 7, so its average is the more settled of the two. Written reviews split almost evenly too, at 100% and 100% positive.

ManageAnticoag ships an update every 23 months, EchoRef every 2 months. The most recent releases landed on October 26, 2026 and October 25, 2026 respectively.

## The numbers

| Metric | ManageAnticoag | EchoRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (7 ratings)](https://appshunter.io/ios/app/manageanticoag/id1158887101/reviews) | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** |
| Number of ratings | 7 | **1.4K** |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 23 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 34 MB | 104 MB |
| Requires iOS | **13.0** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [American College of Cardiology](https://appshunter.io/developer/502174543) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### ManageAnticoag

[App page](https://appshunter.io/ios/app/manageanticoag/id1158887101)

This clinical decision support tool assists healthcare professionals in managing patients on oral anticoagulants. It provides guidance on interrupting anticoagulation, managing acute bleeds, and restarting treatment. Clinicians can input patient details to receive individualized advice and access supporting information.

**Highlights:** Periprocedural planning for OAC patients, Bleed management guidance, Anticoagulation interruption and bridging advice, Reversal agent suggestions, Anticoagulation restart determination, Quick Reference section for supporting information

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

**In-app purchases:** none


### EchoRef

[App page](https://appshunter.io/ios/app/echoref/id1434016053)

This educational reference app provides comprehensive information on point-of-care ultrasound (POCUS), echocardiography, and cardiac measurements. It includes lessons on interventional procedures and hemodynamic calculations for medical professionals.

**Highlights:** Point-of-care ultrasound (POCUS), Transthoracic echocardiography (TTE), Transesophageal echocardiography (TEE), Cardiac dimensions and valve measurements, Hemodynamic and ultrasound calculations, Interventional procedure lessons

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

**In-app purchases:** none


## Frequently asked questions

### Is ManageAnticoag free?

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

### Is EchoRef free?

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

### Which has better reviews, ManageAnticoag or EchoRef?

EchoRef is rated higher. ManageAnticoag averages 4.9 out of 5 from 7 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do ManageAnticoag or EchoRef have ads?

Neither ManageAnticoag nor EchoRef shows ads.

### Which is updated more often, ManageAnticoag or EchoRef?

ManageAnticoag ships an update every 23 months, and EchoRef every 2 months. Most recently, ManageAnticoag was updated on October 26, 2026 and EchoRef on October 25, 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.*