# TreatHF vs EchoRef

The clearest difference is ratings volume: EchoRef at 1.4K against TreatHF's 5. EchoRef also leads on update cadence (every 2 months vs every 7 months). TreatHF's advantage is iOS requirement (13.0 vs 26.0). 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 TreatHF against 4.9 for EchoRef. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 5, so its average is the more settled of the two.

TreatHF ships an update every 7 months, EchoRef every 2 months. The most recent releases landed on October 12, 2026 and October 15, 2026 respectively.

## The numbers

| Metric | TreatHF | EchoRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (5 ratings)](https://appshunter.io/ios/app/treathf/id1321599852/reviews)** | [4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews) |
| Number of ratings | 5 | **1.4K** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 7 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 13 MB | 105 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

### TreatHF

[App page](https://appshunter.io/ios/app/treathf/id1321599852)

This clinical decision support tool offers personalized heart failure therapy recommendations for healthcare professionals. It guides clinicians on medication initiation, titration, and optimization based on patient indications, referencing the latest guidelines.

**Highlights:** Individualized therapy suggestions, Guidance on medication use, Patient indication entry, Next steps for medical therapy, Medication initiation and titration, Optimization of medication strategy

**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 TreatHF free?

TreatHF 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, TreatHF or EchoRef?

TreatHF is rated higher. TreatHF averages 5.0 out of 5 from 5 ratings, while EchoRef averages 4.9 from 1.4K ratings.

### Do TreatHF or EchoRef have ads?

Neither TreatHF nor EchoRef shows ads.

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

TreatHF ships an update every 7 months, and EchoRef every 2 months. Most recently, TreatHF was updated on October 12, 2026 and EchoRef on October 15, 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.*