# ESC CVD Risk Calculation vs Syncope Decision Tool

The clearest difference is in-app purchases: ESC CVD Risk Calculation at none against Syncope Decision Tool's 1. ESC CVD Risk Calculation also leads on iOS requirement (13.0 vs 26.4). Syncope Decision Tool's advantage is update cadence (every 2 months vs every 12 months). On price, ads and device support there is nothing between them.

Both are free to download. Syncope Decision Tool sells 1 one-off in-app purchase. ESC CVD Risk Calculation asks for nothing beyond the download.

ESC CVD Risk Calculation ships an update every 12 months, Syncope Decision Tool every 2 months. The most recent releases landed on September 24, 2026 and September 23, 2026 respectively.

## The numbers

| Metric | ESC CVD Risk Calculation | Syncope Decision Tool |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (33 ratings)](https://appshunter.io/ios/app/esc-cvd-risk-calculation/id1498801246/reviews)** | — |
| Number of ratings | **33** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 12 months | **Every 2 months** |
| Monetization | Free | — |
| Size | 26 MB | 1 MB |
| Requires iOS | **13.0** | 26.4 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 4+ | 17+ |
| Developer | [ESC - European Society of Cardiology](https://appshunter.io/developer/440684535) | [ATIF ELNIL](https://appshunter.io/developer/1886307011) |

## What reviewers say

### ESC CVD Risk Calculation

[App page](https://appshunter.io/ios/app/esc-cvd-risk-calculation/id1498801246)

This app provides healthcare professionals with calculators to assess individual cardiovascular risk for primary and secondary prevention. It offers multiple scoring systems to guide the selection of the most adapted calculator for patient risk estimation. Patient data is not stored within the application.

**Highlights:** Cardiovascular risk assessment calculators, SCORE2, SCORE2-OP, SCORE2-Diabetes, ASCVD, SMART, SMART-REACH, DIAL, LIFE-CVD calculators, Guidance on calculator selection, Patient data not stored

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

**In-app purchases:** none


### Syncope Decision Tool

[App page](https://appshunter.io/ios/app/syncope-decision-tool/id6761343806)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Full Access — Syncope Decision Tool | $6.99 | one-time |


## Frequently asked questions

### Is ESC CVD Risk Calculation free?

ESC CVD Risk Calculation is free to download, with no in-app purchases.

### Is Syncope Decision Tool free?

Syncope Decision Tool is free to download, with in-app purchases available.

### Do ESC CVD Risk Calculation or Syncope Decision Tool have ads?

Neither ESC CVD Risk Calculation nor Syncope Decision Tool shows ads.

### Which is updated more often, ESC CVD Risk Calculation or Syncope Decision Tool?

ESC CVD Risk Calculation ships an update every 12 months, and Syncope Decision Tool every 2 months. Most recently, ESC CVD Risk Calculation was updated on September 24, 2026 and Syncope Decision Tool on September 23, 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.*