Comparison

EchoRef vs ECHO On

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

EchoRef

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
Read full description

Echocardiography and point-of-care ultrasound organized for the bedside. EchoRef is a comprehensive echocardiography and ultrasound reference for physicians, nurses, advanced practice clinicians, sonographers, medical students, and other healthcare learners. Review TEE, TTE, and POCUS videos, check cardiac measurements and diagnostic criteria, evaluate native and prosthetic valves, and perform commonly used ultrasound and hemodynamic calculations, all in one focused reference. FEATURES • Educational video library covering 2D and 3D TEE, interventional echocardiography, mechanical circulatory support, and clinical cases • POCUS instruction for cardiac, lung, abdominal, vascular, and peripheral nerve block examinations • Cardiac anatomy measurements and reference values for chamber size, ventricular function, diastology, and vascular structures • Native valve assessment for aortic, mitral, tricuspid, and pulmonic stenosis and regurgitation • Prosthetic valve reference for surgical valves, TAVR, and prosthesis evaluation • Ultrasound and hemodynamic calculators for valve area, cardiac output, ventricular function, filling pressures, vascular resistance, shunts, fluid responsiveness, and more • Cardiac equations, hemodynamic reference values, and ultrasound physics • Clinical protocols, focused examination guidance, findings atlas, and reporting documentation • Acquisition guidance, measurement tips, common pitfalls, and related clinical content • Global search, favorites, related links, and personal notes EchoRef connects ultrasound physics, image acquisition, echocardiographic interpretation, and bedside decision-making. Whether you are learning standard views, reviewing an unfamiliar finding, evaluating valve disease, or checking a calculation, the app makes relevant information easy to find. Created by Rishi Kumar, MD, FACC (“RK.MD”), an academic adult cardiothoracic anesthesiologist and cardiovascular ICU intensivist committed to free, open-access medical education. Learn more at https://rk.md EchoRef is intended for educational and informational purposes only. It does not provide medical advice and is not a substitute for professional judgment, diagnosis, or treatment. Clinical findings and calculations must be independently verified and interpreted in the context of the individual patient. Seek guidance from a qualified healthcare professional regarding any medical condition. Do not disregard or delay professional medical advice because of information provided by this app.

About

ECHO On

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
Read full description

ECHO On is a free medical education resource for learning Transesophageal Echocardiography including a free, enlarging question bank, a Rescue TEE cognitive aid, a Case Log system for submission to the NBE, and a growing perioperative Quick Reference library with offline echo loops that work even in the OR without internet access, and includes pathology examples, techniques, and normal loops of the heart. ECHO On will walk you through an entire standard 28 view exam teaching you the anatomy, function and Doppler interrogations you should perform at each view, and how to interpret them. ECHO On is and will remain free, and the best way you can contribute is to submit boards-style questions or echo stills and echo loops to help grow the QBank, Quick Reference and Pathology libraries. Disclaimer: This app was written to provide an accessible perioperative tool for residents and fellows learning TEE in the cardiac OR and ICU, and for generalist anesthesiologists looking to refresh their knowledge of TEE. It is not meant for patients to self-diagnose. It is not meant to be a definitive reference. Despite my best efforts, there may be errors or inaccuracies in this app, so please do not use it for medical decision making, as doing so may lead you misdiagnose or seriously harm your patient. If you are not a qualified medical doctor, please see a qualified medical doctor before making any medical decisions, including those based on echocardiograms.

Screenshots

EchoRef4 screens
ECHO On4 screens

Verdict

The call

The clearest difference is update cadence: ECHO On at weekly against EchoRef's every 2 months. ECHO On also leads on iOS requirement (15.6 vs 26.0). EchoRef's advantage is ratings volume (1.4K vs 15). On price, rating, review sentiment and ads there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

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

ReceptionRating · Positive reviews · Number of ratings

On the App Store both sit at effectively the same score — 4.9 for EchoRef against 4.9 for ECHO On. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 15, so its average is the more settled of the two. Written reviews split almost evenly too, at 100% and 100% positive.

UpkeepUpdate frequency

EchoRef ships an update every 2 months, ECHO On weekly. The most recent releases landed on November 2, 2026 and November 3, 2026 respectively.

Scorecard3 real differences · 7 level
EchoRef versus ECHO On: the parameters behind the verdict, then further details
ParameterEchoRefECHO On
PriceFreeFree
Rating4.9 (1.4K ratings)4.9 (15 ratings) — better
Positive reviews100.0% of reviews100.0% of reviews
Number of ratings1.4K — better15
Update frequencyEvery 2 monthsWeekly — better
AdsNoNo
In-app purchasesNoNo
MonetizationFreeFree
DevicesiPhone, iPadiPhone, iPad, iPod — better
Requires iOS26.015.6 — better
Further details — not scored
Size104 MB414 MB
Age rating17+12+
DeveloperRishi KumarRobert Arrigo

Customer experience

EchoRef

All ratings1,387 ratings
Positive97.2%
Neutral1.4%
Negative1.4%
Written reviews12 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

ECHO On

All ratings14 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews1 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

None

EchoRef

No in-app purchases

None

ECHO On

No in-app purchases

Questions

Is EchoRef free?
EchoRef 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, EchoRef or ECHO On?
ECHO On is rated higher. EchoRef averages 4.9 out of 5 from 1.4K ratings, while ECHO On averages 4.9 from 15 ratings.
Do EchoRef or ECHO On have ads?
Neither EchoRef nor ECHO On shows ads.
Which is updated more often, EchoRef or ECHO On?
EchoRef ships an update every 2 months, and ECHO On weekly. Most recently, EchoRef was updated on November 2, 2026 and ECHO On on November 3, 2026.

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