# iElastance vs ESC CHAT

The clearest difference is update cadence: ESC CHAT at every 3 months against iElastance's every 8 months. iElastance's advantage is device support (3 vs 1). On price, ads, in-app purchases and iOS requirement 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, ESC CHAT every 3 months. The most recent releases landed on October 4, 2026 and October 17, 2026 respectively.

## The numbers

| Metric | iElastance | ESC CHAT |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[1.0 (1 ratings)](https://appshunter.io/ios/app/esc-chat/id6749142845/reviews)** |
| Number of ratings | — | **1** |
| Positive reviews | — | 33.3% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 8 months | **Every 3 months** |
| Monetization | — | Free |
| Size | 22 MB | 80 MB |
| Requires iOS | **15.1** | 16.6 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 12+ | 4+ |
| Developer | [Pietro Bertini](https://appshunter.io/developer/1769996267) | [ESC - European Society of Cardiology](https://appshunter.io/developer/440684535) |

## What reviewers say

### iElastance

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

**Features:** macOS Compatibility

**In-app purchases:** none


### ESC CHAT

[App page](https://appshunter.io/ios/app/esc-chat/id6749142845)

Get instant, personalized answers to clinical questions directly from current ESC Clinical Practice Guidelines. This tool provides relevant citations and reference links, allowing for question refinement and follow-ups. It's designed for medical professionals to enhance access to guideline information.

**Highlights:** Instant clinical query answers, Based on ESC Clinical Practice Guidelines, Provides citations and reference links, Refine questions and ask follow-ups, Information system for medical professionals

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

**In-app purchases:** none


## Frequently asked questions

### Is iElastance free?

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

### Is ESC CHAT free?

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

### Do iElastance or ESC CHAT have ads?

Neither iElastance nor ESC CHAT shows ads.

### Which is updated more often, iElastance or ESC CHAT?

iElastance ships an update every 8 months, and ESC CHAT every 3 months. Most recently, iElastance was updated on October 4, 2026 and ESC CHAT on October 17, 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.*