# Blood Pressure Tracker SmartBP vs ECG Notes

The clearest difference is update cadence: Blood Pressure Tracker SmartBP at fortnightly against ECG Notes's every 3 months. Blood Pressure Tracker SmartBP also leads on ratings volume (61K vs 12) and chart position (#27 vs unranked). ECG Notes's advantage is iOS requirement (13.0 vs 16.0). On price, rating, review sentiment and ads there is nothing between them.

Both are free to download. Blood Pressure Tracker SmartBP sells 13 in-app purchases, starting at $5.99 per 7 days and ECG Notes sells 1 one-off in-app purchase. Whichever you choose, the download price is not the number that matters.

ECG Notes holds the better App Store score, 4.7 against 4.5. That said, the two scores are not equally well evidenced: Blood Pressure Tracker SmartBP has 61K ratings behind it against 12, so its average is the more settled of the two. Written reviews complicate that: 55% of Blood Pressure Tracker SmartBP's written reviews are positive against 50% of ECG Notes's, so the app with the better star average is not the one people write more warmly about.

Blood Pressure Tracker SmartBP ships an update fortnightly, ECG Notes every 3 months. The most recent releases landed on October 28, 2026 and October 21, 2026 respectively.

## The numbers

| Metric | Blood Pressure Tracker SmartBP | ECG Notes |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (61K ratings)](https://appshunter.io/ios/app/blood-pressure-tracker-smartbp/id519076558/reviews) | **[4.7 (12 ratings)](https://appshunter.io/ios/app/ecg-notes-quick-look-up-ref/id1146393355/reviews)** |
| Number of ratings | **61K** | 12 |
| Positive reviews | **55.4% of reviews** | 50.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | Yes | Yes |
| Update frequency | **Fortnightly** | Every 3 months |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Best chart rank | **#27** | — |
| Size | 424 MB | 46 MB |
| Requires iOS | 16.0 | **13.0** |
| Devices | iPhone, iPad, Apple Watch | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Evolve Medical Systems, LLC](https://appshunter.io/developer/519076561) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### Blood Pressure Tracker SmartBP

[App page](https://appshunter.io/ios/app/blood-pressure-tracker-smartbp/id519076558)

**Currently charting:** #27 Top Grossing · Medical, #149 Top Free · Medical (US App Store)

Log, monitor, and analyze blood pressure and heart measurements. Automatically calculate BMI, pulse pressure, and mean arterial pressure. Share reports with healthcare providers and track progress with clear graphs and statistics.

**Highlights:** Log blood pressure, pulse, and weight, Automatic BMI, PP, and MAP calculation, Sync with Bluetooth BP monitors, Store and access data via Apple HealthKit, Share reports via email, SMS, or PDF, View daily, weekly, and monthly summaries, Analyze progress with graphs and statistics

**Features:** macOS Compatibility, Family Sharing, Apple Watch app, Vision Pro support

**In-app purchases (13)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Weekly | $5.99 | per 7 days |
| SmartBP Premium monthly | $14.99 | per month |
| Annual 50%off | $19.99 | per year |
| SmartBP Premium monthly | $19.99 | per month |
| SmartBP Premium quarterly | $24.99 | per 3 months |
| Premium Annual Subscription | $27.99 | per year |
| SmartBP Premium Annual | $39.99 | per year |
| Free 3 Day Premium Trial | $39.99 | per year |
| SmartBP Premium Annual | $49.99 | per year |
| Premium Lifetime for Clinics | Free | one-time |
| Multi user profile | $5.99 | one-time |
| SmartBP Promo Premium Lifetime | $59.99 | one-time |
| premium ad-free version with cloud services enabled | $99.99 | one-time |

**What reviewers like**

- 🚀 Easy to use
- 📊 Helpful graphs and stats
- 💾 Ability to export data
- 🤝 Syncs with Apple Health
- 🔍 Detailed tracking features

**What reviewers complain about**

- 🔍 Confusing navigation
- 💰 Aggressive upselling for premium
- 🐛 Sync issues between devices
- 📵 Excessive ads in free version
- 🤷‍♀️ Doesn't actually measure BP

**Reported bugs**

- App crashes on latest iOS update
- Deleted data not recoverable
- Unable to edit or delete entries

**Requested features**

- Customizable graph scales
- Automatic sync between devices
- More flexible tagging options
- Ability to set default settings
- Support for multiple user profiles


### ECG Notes

[App page](https://appshunter.io/ios/app/ecg-notes-quick-look-up-ref/id1146393355)

This pocket guide offers a quick reference for ECG interpretation and management, covering basics, 12-lead ECGs, ACLS, CPR, and emergency medications. It includes over 100 ECG strips and practice questions, with content updated to the latest guidelines. No internet connection is needed after initial download.

**Highlights:** 125 ECG rhythm strips, Comprehensive coverage: basics, ECG, ACLS, PALS, meds, CPR, CPR algorithms in tabular format, Test Yourself ECG strips with real-life arrhythmias, Clinical Tips and PALS coverage, SmartSearch technology for quick look-up, Offline content access

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| ECG Notes-Ed.4 | $34.99 | one-time |


## Frequently asked questions

### Is Blood Pressure Tracker SmartBP free?

Blood Pressure Tracker SmartBP is free to download, with in-app purchases available.

### Is ECG Notes free?

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

### Which has better reviews, Blood Pressure Tracker SmartBP or ECG Notes?

ECG Notes is rated higher. Blood Pressure Tracker SmartBP averages 4.5 out of 5 from 61K ratings, while ECG Notes averages 4.7 from 12 ratings.

### Do Blood Pressure Tracker SmartBP or ECG Notes have ads?

Both Blood Pressure Tracker SmartBP and ECG Notes show ads.

### Which is updated more often, Blood Pressure Tracker SmartBP or ECG Notes?

Blood Pressure Tracker SmartBP ships an update fortnightly, and ECG Notes every 3 months. Most recently, Blood Pressure Tracker SmartBP was updated on October 28, 2026 and ECG Notes on October 21, 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.*