ECHO On vs HeartFocus
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
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.
- 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
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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.
HeartFocus
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Capture diagnostic-quality heart scans - and learn as you go. HeartFocus by DESKi is an AI-guided cardiac ultrasound app that enables clinicians to learn, perform, and repeat diagnostic-quality heart scans with confidence - even without prior echo experience. Now available on iPhone and iPad, HeartFocus brings powerful, real-time guidance directly to the point of care. IMPORTANT MEDICAL DISCLAIMER & JURISDICTION Medical Disclaimer: This app is intended to assist medical professionals in the acquisition of cardiac ultrasound images. It does not provide automated diagnoses or replace clinical interpretation. Users must seek a doctor’s advice in addition to using this app and before making any medical decisions. Regulatory & Jurisdiction Notice: HeartFocus is a regulated Software as a Medical Device (SaMD). This software is indicated for use exclusively within the United States (under FDA Special 510(k) clearance). Do not use this application in regions where regulatory approvals are not active. Prescription Status: Rx Only. This device must be sold by a doctor or with a doctor's prescription. Learn Cardiac Ultrasound - Faster Whether you're a physician, nurse practitioner, resident, or student, HeartFocus helps you build skills with every scan: - Learn by doing, with real-time AI guidance - Build confidence through repetition - Reduce reliance on expert supervision - Progress from first scan to consistency AI That Guides You Like an Expert HeartFocus mirrors how experts scan - helping you succeed in real clinical settings: Live Guidance On-screen cues guide probe positioning and movement in real time Diagnostic-Quality Detection Automatically recognizes when a view meets clinical standards Auto Record Captures clips when optimal quality is reached - no manual timing needed Best-Effort Record Ensures the best possible clip is saved, even in challenging conditions Capture the 10 Standard Cardiac Views HeartFocus guides acquisition of key transthoracic echocardiography views: PLAX PSAX (AV, MV, PM) A4C, A5C, A2C, A3C Subcostal 4C Subcostal IVC Built for Real Clinical Practice Primary & Family Care Assess symptoms like dyspnea or fatigue directly at the bedside and support earlier detection Acute & Emergency Care Enable rapid decision-making in time-sensitive situations Cardiology Teams Extend scanning capability beyond specialists and improve workflow efficiency Education & Training Accelerate skill development with AI-supported learning and repeatable practice Why HeartFocus - Learn and scan at the same time - Improve consistency across users - Expand access to cardiac imaging - Help support earlier detection of heart disease Compatible Devices Works with Butterfly iQ+ and iQ3 ultrasound systems No Heart Can Wait™
Screenshots
Verdict
The clearest difference is update cadence: ECHO On at weekly against HeartFocus's every 5 months. ECHO On also leads on iOS requirement (15.6 vs 17.0). On price, ads, in-app purchases and device support 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
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
ECHO On ships an update weekly, HeartFocus every 5 months. The most recent releases landed on September 10, 2026 and September 12, 2026 respectively.
| Parameter | ECHO On | HeartFocus |
|---|---|---|
| Price | Free | Free |
| Rating | 4.9 (14 ratings) — better | — |
| Positive reviews | 100.0% of reviews | — |
| Number of ratings | 14 — better | — |
| Update frequency | Weekly — better | Every 5 months |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | — |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 15.6 — better | 17.0 |
| Further details — not scored | ||
| Size | 414 MB | 386 MB |
| Age rating | 12+ | 17+ |
| Developer | Robert Arrigo | DESKi |
In-app purchases
ECHO On
No in-app purchases
HeartFocus
No in-app purchases









