# SYNTAX Score 2020 vs Echocardio Notes

SYNTAX Score 2020 and Echocardio Notes are too close to call on the numbers: across 6 compared parameters — price, update cadence, ads and in-app purchases among them — neither pulls far enough ahead to decide it. What separates them is feature set and interface, not measurable difference.

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

Both ship on a similar rhythm, roughly every 6 weeks. The most recent releases landed on September 8, 2026 and September 25, 2026 respectively.

## The numbers

| Metric | SYNTAX Score 2020 | Echocardio Notes |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[5.0 (1 ratings)](https://appshunter.io/ios/app/echocardio-notes/id1558887351/reviews)** |
| Number of ratings | — | **1** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 weeks | Every 6 weeks |
| Monetization | — | Free |
| Size | 50 MB | 12 MB |
| Requires iOS | **12.0** | 13.4 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [SAHAJANAND MEDICAL TECHNOLOGIES PRIVATE LIMITED](https://appshunter.io/developer/1444988653) | [Web Artisans, Unipessoal Lda](https://appshunter.io/developer/1279073298) |

## What reviewers say

### SYNTAX Score 2020

[App page](https://appshunter.io/ios/app/syntax-score-2020/id1529725847)

**In-app purchases:** none


### Echocardio Notes

[App page](https://appshunter.io/ios/app/echocardio-notes/id1558887351)

This medical reference app offers quick access to current echocardiography values and protocols. Its clean interface provides essential information for healthcare professionals on smartphones and tablets.

**Highlights:** Up-to-date reference values, Echocardiography protocols, Quick and intuitive interface, Smartphone and tablet compatible, Free to use

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

**In-app purchases:** none


## Frequently asked questions

### Is SYNTAX Score 2020 free?

SYNTAX Score 2020 is free to download, with no in-app purchases.

### Is Echocardio Notes free?

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

### Do SYNTAX Score 2020 or Echocardio Notes have ads?

Neither SYNTAX Score 2020 nor Echocardio Notes shows ads.

### Which is updated more often, SYNTAX Score 2020 or Echocardio Notes?

SYNTAX Score 2020 ships an update every 6 weeks, and Echocardio Notes every 6 weeks. Most recently, SYNTAX Score 2020 was updated on September 8, 2026 and Echocardio Notes on September 25, 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.*