# Symptoms vs EchoGuide by ASE

The clearest difference is update cadence: EchoGuide by ASE at monthly against Symptoms's every 14 months. 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.

Symptoms ships an update every 14 months, EchoGuide by ASE monthly. The most recent releases landed on September 18, 2026 and September 10, 2026 respectively.

## The numbers

| Metric | Symptoms | EchoGuide by ASE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.7 (41 ratings)](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048/reviews)** |
| Number of ratings | — | **41** |
| Positive reviews | — | 75.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 14 months | **Monthly** |
| Monetization | — | Free |
| Size | 44 MB | 96 MB |
| Requires iOS | **14.0** | 14.2 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 12+ | 12+ |
| Developer | [Spacelabs Healthcare](https://appshunter.io/developer/1471332696) | [American Society of Echocardiography](https://appshunter.io/developer/421031128) |

## What reviewers say

### Symptoms

[App page](https://appshunter.io/ios/app/symptoms-spacelabs-eclipse/id1471332697)

**Features:** 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 Symptoms free?

Symptoms 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.

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

Neither Symptoms nor EchoGuide by ASE shows ads.

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

Symptoms ships an update every 14 months, and EchoGuide by ASE monthly. Most recently, Symptoms 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.*