# ManageMR vs NephX

The clearest difference is update cadence: NephX at every 8 days against ManageMR's every 21 months. ManageMR's advantage is iOS requirement (13.0 vs 17.0). On price, ads, in-app purchases and device support there is nothing between them.

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

ManageMR ships an update every 21 months, NephX every 8 days. Both last shipped on October 12, 2026.

## The numbers

| Metric | ManageMR | NephX |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/managemr/id1294761656/reviews)** | — |
| Number of ratings | **1** | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 21 months | **Every 8 days** |
| Monetization | Free | — |
| Size | 58 MB | 123 MB |
| Requires iOS | **13.0** | 17.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, Apple Watch |
| Age rating | 17+ | 17+ |
| Developer | [American College of Cardiology](https://appshunter.io/developer/502174543) | [Gobi Ganesan](https://appshunter.io/developer/1834628866) |

## 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


### NephX

[App page](https://appshunter.io/ios/app/nephx/id6775449698)

**Features:** macOS Compatibility, Apple Watch app, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is ManageMR free?

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

### Is NephX free?

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

### Do ManageMR or NephX have ads?

Neither ManageMR nor NephX shows ads.

### Which is updated more often, ManageMR or NephX?

ManageMR ships an update every 21 months, and NephX every 8 days. Most recently, ManageMR was updated on October 12, 2026 and NephX on October 12, 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.*