# EchoRef vs EchoGuide by ASE

The clearest difference is review sentiment: EchoRef at 100% against EchoGuide by ASE's 75%. EchoRef also leads on ratings volume (1.4K vs 41) and rating (4.9 vs 4.7). EchoGuide by ASE's advantage is update cadence (monthly vs every 2 months) and iOS requirement (14.2 vs 26.0). On price, ads, in-app purchases and monetization model there is nothing between them.

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

EchoRef holds the better App Store score, 4.9 against 4.7. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 41, so its average is the more settled of the two. Written reviews point the same way: 100% of EchoRef's written reviews are positive against 75% of EchoGuide by ASE's.

EchoRef ships an update every 2 months, EchoGuide by ASE monthly. The most recent releases landed on September 18, 2026 and September 10, 2026 respectively.

## The numbers

| Metric | EchoRef | EchoGuide by ASE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** | [4.7 (41 ratings)](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048/reviews) |
| Number of ratings | **1.4K** | 41 |
| Positive reviews | **100.0% of reviews** | 75.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | **Monthly** |
| Monetization | Free | Free |
| Size | 105 MB | 96 MB |
| Requires iOS | 26.0 | **14.2** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 12+ |
| Developer | [Rishi Kumar](https://appshunter.io/developer/1434016052) | [American Society of Echocardiography](https://appshunter.io/developer/421031128) |

## What reviewers say

### 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


### EchoGuide by ASE

[App page](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048)

This medical app offers over 50 calculators, algorithms, and charts based on key guidelines for cardiac care professionals. It allows users to favorite interactive tools for quick access to a wide range of echocardiography measurements and assessments.

**Highlights:** Over 50 calculators, algorithms, and charts, Based on ASE guidelines, Favorite interactive tools, Cardiac care reference, Echocardiography measurements

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

**In-app purchases:** none


## Frequently asked questions

### Is EchoRef free?

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

### Is EchoGuide by ASE free?

EchoGuide by ASE is free to download, with no in-app purchases.

### Which has better reviews, EchoRef or EchoGuide by ASE?

EchoRef is rated higher. EchoRef averages 4.9 out of 5 from 1.4K ratings, while EchoGuide by ASE averages 4.7 from 41 ratings.

### Do EchoRef or EchoGuide by ASE have ads?

Neither EchoRef nor EchoGuide by ASE shows ads.

### Which is updated more often, EchoRef or EchoGuide by ASE?

EchoRef ships an update every 2 months, and EchoGuide by ASE monthly. Most recently, EchoRef was updated on September 18, 2026 and EchoGuide by ASE on September 10, 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.*