# iElastance vs Valve PPM

The clearest difference is update cadence: Valve PPM at every 2 months against iElastance's every 8 months. iElastance's advantage is iOS requirement (13.0 vs 15.1). 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.

iElastance ships an update every 8 months, Valve PPM every 2 months. The most recent releases landed on October 21, 2026 and October 8, 2026 respectively.

## The numbers

| Metric | iElastance | Valve PPM |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[5.0 (3 ratings)](https://appshunter.io/ios/app/valve-ppm/id1604258260/reviews)** |
| Number of ratings | — | **3** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 8 months | **Every 2 months** |
| Monetization | — | Free |
| Size | 58 MB | 37 MB |
| Requires iOS | **13.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 12+ |
| Developer | [Pietro Bertini](https://appshunter.io/developer/1769996267) | [KRUTSCH](https://appshunter.io/developer/1454678018) |

## What reviewers say

### iElastance

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

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

**In-app purchases:** none


### Valve PPM

[App page](https://appshunter.io/ios/app/valve-ppm/id1604258260)

This tool assists medical professionals in assessing implanted prosthetic cardiac valves. It offers guidance for checking existing valve function and selecting the optimal valve before implantation based on patient and prosthesis parameters.

**Highlights:** Assess implanted valve function, Select optimal valve before implantation, Analyze patient and prosthesis parameters, Identify potential patient-prosthesis mismatch, Determine intrinsic prosthesis dysfunction

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

**In-app purchases:** none


## Frequently asked questions

### Is iElastance free?

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

### Is Valve PPM free?

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

### Do iElastance or Valve PPM have ads?

Neither iElastance nor Valve PPM shows ads.

### Which is updated more often, iElastance or Valve PPM?

iElastance ships an update every 8 months, and Valve PPM every 2 months. Most recently, iElastance was updated on October 21, 2026 and Valve PPM on October 8, 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.*