# iElastance vs EchoGuide by ASE

The clearest difference is in-app purchases: EchoGuide by ASE at none against iElastance's 1. EchoGuide by ASE also leads on update cadence (monthly vs every 8 months). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. iElastance sells 1 in-app purchase, starting at $9.99 per year. EchoGuide by ASE asks for nothing beyond the download.

iElastance ships an update every 8 months, EchoGuide by ASE monthly. The most recent releases landed on October 30, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | iElastance | EchoGuide by ASE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.7 (41 ratings)](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048/reviews)** |
| Number of ratings | — | **41** |
| Positive reviews | — | 75.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 8 months | **Monthly** |
| Monetization | — | Free |
| Size | 58 MB | 96 MB |
| Requires iOS | **13.0** | 14.2 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 12+ |
| Developer | [Pietro Bertini](https://appshunter.io/developer/1769996267) | [American Society of Echocardiography](https://appshunter.io/developer/421031128) |

## What reviewers say

### iElastance

[App page](https://appshunter.io/ios/app/ielastance/id556528864)

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

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| iElastance Premium | $9.99 | per year |


### EchoGuide by ASE

[App page](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048)

This medical app offers over 50 calculators, algorithms, and charts based on key guidelines for cardiac care professionals. It allows users to favorite interactive tools for quick access to a wide range of echocardiography measurements and assessments.

**Highlights:** Over 50 calculators, algorithms, and charts, Based on ASE guidelines, Favorite interactive tools, Cardiac care reference, Echocardiography measurements

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

**In-app purchases:** none


## Frequently asked questions

### Is iElastance free?

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

### Is EchoGuide by ASE free?

EchoGuide by ASE is free to download, with no in-app purchases.

### Do iElastance or EchoGuide by ASE have ads?

Neither iElastance nor EchoGuide by ASE shows ads.

### Which is updated more often, iElastance or EchoGuide by ASE?

iElastance ships an update every 8 months, and EchoGuide by ASE monthly. Most recently, iElastance was updated on October 30, 2026 and EchoGuide by ASE on October 24, 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.*