# ManageMR vs Echo Calculate

The clearest difference is in-app purchases: ManageMR at none against Echo Calculate's 1. ManageMR also leads on iOS requirement (13.0 vs 15.6). Echo Calculate's advantage is update cadence (every 6 months vs every 21 months). On price, ads and device support there is nothing between them.

Both are free to download. Echo Calculate sells 1 one-off in-app purchase. ManageMR asks for nothing beyond the download.

ManageMR ships an update every 21 months, Echo Calculate every 6 months. The most recent releases landed on July 2, 2026 and September 16, 2026 respectively.

## The numbers

| Metric | ManageMR | Echo Calculate |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/managemr/id1294761656/reviews)** | — |
| Number of ratings | **1** | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 21 months | **Every 6 months** |
| Monetization | Free | — |
| Size | 58 MB | 26 MB |
| Requires iOS | **13.0** | 15.6 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 4+ |
| Developer | [American College of Cardiology](https://appshunter.io/developer/502174543) | [Gundogan Emre](https://appshunter.io/developer/1651146056) |

## 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

**In-app purchases:** none


### Echo Calculate

[App page](https://appshunter.io/ios/app/echo-calculate/id1660468437)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Echo Calculate Premium | $3.99 | one-time |


## Frequently asked questions

### Is ManageMR free?

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

### Is Echo Calculate free?

Echo Calculate is free to download, with in-app purchases available.

### Do ManageMR or Echo Calculate have ads?

Neither ManageMR nor Echo Calculate shows ads.

### Which is updated more often, ManageMR or Echo Calculate?

ManageMR ships an update every 21 months, and Echo Calculate every 6 months. Most recently, ManageMR was updated on July 2, 2026 and Echo Calculate on September 16, 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.*