# ECHO On vs HeartFocus

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.

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.

## The numbers

| Metric | ECHO On | HeartFocus |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (14 ratings)](https://appshunter.io/ios/app/echo-on/id1519707786/reviews)** | — |
| Number of ratings | **14** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Weekly** | Every 5 months |
| Monetization | Free | — |
| Size | 414 MB | 386 MB |
| Requires iOS | **15.6** | 17.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 12+ | 17+ |
| Developer | [Robert Arrigo](https://appshunter.io/developer/1519707788) | [DESKi](https://appshunter.io/developer/1759141487) |

## What reviewers say

### ECHO On

[App page](https://appshunter.io/ios/app/echo-on/id1519707786)

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:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### HeartFocus

[App page](https://appshunter.io/ios/app/heartfocus/id6572298620)

**In-app purchases:** none


## Frequently asked questions

### Is ECHO On free?

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

### Is HeartFocus free?

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

### Do ECHO On or HeartFocus have ads?

Neither ECHO On nor HeartFocus shows ads.

### Which is updated more often, ECHO On or HeartFocus?

ECHO On ships an update weekly, and HeartFocus every 5 months. Most recently, ECHO On was updated on September 10, 2026 and HeartFocus on September 12, 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.*