# ManageMR vs ECHO On

The clearest difference is update cadence: ECHO On at weekly against ManageMR's every 21 months. ECHO On also leads on ratings volume (14 vs 1). ManageMR's advantage is iOS requirement (13.0 vs 15.6). On price, rating, ads and in-app purchases 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 — 5.0 for ManageMR against 4.9 for ECHO On. That said, the two scores are not equally well evidenced: ECHO On has 14 ratings behind it against 1, so its average is the more settled of the two.

ManageMR ships an update every 21 months, ECHO On weekly. The most recent releases landed on October 12, 2026 and October 13, 2026 respectively.

## The numbers

| Metric | ManageMR | ECHO On |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/managemr/id1294761656/reviews)** | [4.9 (14 ratings)](https://appshunter.io/ios/app/echo-on/id1519707786/reviews) |
| Number of ratings | 1 | **14** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 21 months | **Weekly** |
| Monetization | Free | Free |
| Size | 58 MB | 414 MB |
| Requires iOS | **13.0** | 15.6 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [American College of Cardiology](https://appshunter.io/developer/502174543) | [Robert Arrigo](https://appshunter.io/developer/1519707788) |

## What reviewers say

### ManageMR

[App page](https://appshunter.io/ios/app/managemr/id1294761656)

This medical app offers personalized referral and treatment guidance for mitral regurgitation patients. It analyzes echo assessment parameters to determine MR severity, etiology, and recommend appropriate interventions like valve repair or replacement.

**Highlights:** Personalized referral advice, Treatment recommendations, MR severity and etiology analysis, Mitral valve repair vs. replacement feasibility, Echo assessment parameter entry

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

**In-app purchases:** none


### ECHO On

[App page](https://appshunter.io/ios/app/echo-on/id1519707786)

This medical education app helps users learn Transesophageal Echocardiography with a question bank, cognitive aid, case log, and reference library. It provides guidance on performing and interpreting a standard 28-view exam, including anatomy, function, and Doppler interrogations.

**Highlights:** Transesophageal Echocardiography education, Enlarging question bank, Rescue TEE cognitive aid, Case Log system, Perioperative Quick Reference library, Offline echo loops, Pathology, technique, and normal loop examples

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

**In-app purchases:** none


## Frequently asked questions

### Is ManageMR free?

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

### Is ECHO On free?

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

### Which has better reviews, ManageMR or ECHO On?

ManageMR is rated higher. ManageMR averages 5.0 out of 5 from 1 ratings, while ECHO On averages 4.9 from 14 ratings.

### Do ManageMR or ECHO On have ads?

Neither ManageMR nor ECHO On shows ads.

### Which is updated more often, ManageMR or ECHO On?

ManageMR ships an update every 21 months, and ECHO On weekly. Most recently, ManageMR was updated on October 12, 2026 and ECHO On on October 13, 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.*