# Paramedic Review Plus vs arrhythmia

The clearest difference is price: arrhythmia at Free against Paramedic Review Plus's $13.99. arrhythmia also leads on rating (4.1 vs 2.3) and update cadence (every 3 weeks vs every 10 months). Paramedic Review Plus's advantage is in-app purchases (none vs 3). On review sentiment, ads, chart position and device support there is nothing between them.

arrhythmia is free to download; Paramedic Review Plus costs $13.99 up front. arrhythmia sells 3 in-app purchases, starting at $2.99 per month. Paramedic Review Plus asks for nothing beyond the download.

arrhythmia holds the better App Store score, 4.1 against 2.3. That said, the two scores are not equally well evidenced: arrhythmia has 113 ratings behind it against 9, so its average is the more settled of the two. Written reviews point the same way: 42% of Paramedic Review Plus's written reviews are positive against 44% of arrhythmia's.

Paramedic Review Plus ships an update every 10 months, arrhythmia every 3 weeks. The most recent releases landed on October 29, 2026 and October 26, 2026 respectively.

## The numbers

| Metric | Paramedic Review Plus | arrhythmia |
| --- | --- | --- |
| Price | $13.99 | **Free** |
| Rating | [2.3 (9 ratings)](https://appshunter.io/ios/app/paramedic-review-plus/id420015381/reviews) | **[4.1 (113 ratings)](https://appshunter.io/ios/app/arrhythmia/id996560473/reviews)** |
| Number of ratings | 9 | **113** |
| Positive reviews | 41.7% of reviews | **43.9% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 10 months | **Every 3 weeks** |
| Monetization | **Paid** | Subscription |
| Best chart rank | **#176** | #198 |
| Size | 50 MB | 159 MB |
| Requires iOS | 17.6 | 17.6 |
| Devices | iPhone, iPad | **iPhone, iPad, Mac** |
| Age rating | 17+ | 17+ |
| Developer | [Limmer Creative](https://appshunter.io/developer/387423724) | [Single Sail Software, LLC](https://appshunter.io/developer/359715495) |

## What reviewers say

### Paramedic Review Plus

[App page](https://appshunter.io/ios/app/paramedic-review-plus/id420015381)

**Currently charting:** #176 Top Paid · Medical (US App Store)

This comprehensive study tool prepares users for paramedic coursework, NREMT exams, and recertification. It offers practice exams, topic-based questions, ECG interpretation, and medication calculation exercises to enhance clinical knowledge and critical thinking.

**Highlights:** NREMT-style practice exams, Multiple-choice questions, ECG rhythm interpretation, Medication calculation practice, Clinical judgment scenarios, Topic-based review

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

**In-app purchases:** none


### arrhythmia

[App page](https://appshunter.io/ios/app/arrhythmia/id996560473)

**Currently charting:** #198 Top Grossing · Medical (US App Store)

Practice interpreting EKGs in lead II with realistic simulations. Choose rhythms to study or test your knowledge in a game mode. Ideal for healthcare professionals to hone their diagnostic skills.

**Highlights:** EKG interpretation practice, Lead II simulation, Study Mode with rhythm selection, Game Mode for random rhythm identification, Customizable rhythm sets, Realistic rhythm variations

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly | $2.99 | per month |
| Yearly | $19.99 | per year |
| Unlock All Rhythms (One-time Purchase) | $4.99 | one-time |

**What reviewers like**

- 👍 Great study tool for EKGs
- 👍 Helpful for understanding EKGs
- 👍 Good for practicing rhythm recognition
- 👍 Interactive and colorful design
- 👍 Dynamic testing

**What reviewers complain about**

- 👎 Immediately asks for paid version
- 👎 Missing common and important rhythms
- 👎 Rhythms are unrealistic
- 👎 Cannot try before signing up
- 👎 Clunky and slow horizontal scrolling

**Reported bugs**

- App no longer works after iOS update
- App does not work on Apple Watch

**Requested features**

- Add more common and important rhythms (torsades, WPW, STEMI, accelerated/tachycardic idioventricular, WAP, MAT)
- Option to read as a 12-lead instead of a single rhythm line
- Add variations to rhythms
- Add Left Bundle Branch Block
- Add a 12-lead option


## Frequently asked questions

### Is Paramedic Review Plus free?

Paramedic Review Plus costs $13.99, with no in-app purchases.

### Is arrhythmia free?

arrhythmia is free to download, with in-app purchases available.

### Which has better reviews, Paramedic Review Plus or arrhythmia?

arrhythmia is rated higher. Paramedic Review Plus averages 2.3 out of 5 from 9 ratings, while arrhythmia averages 4.1 from 113 ratings.

### Do Paramedic Review Plus or arrhythmia have ads?

Neither Paramedic Review Plus nor arrhythmia shows ads.

### Which is updated more often, Paramedic Review Plus or arrhythmia?

Paramedic Review Plus ships an update every 10 months, and arrhythmia every 3 weeks. Most recently, Paramedic Review Plus was updated on October 29, 2026 and arrhythmia on October 26, 2026.

### Which is more popular, Paramedic Review Plus or arrhythmia?

Paramedic Review Plus currently peaks at #176 in the App Store charts, and arrhythmia at #198. Chart position reflects recent download velocity rather than total install base.

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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.*