SubtleSTEMI vs gistalt
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
SubtleSTEMI
This medical app calculates the formula from a specific research paper to help differentiate early repolarization from subtle anterior ST-segment elevation myocardial infarction. It provides a tool for medical professionals to aid in diagnosis.
- ECG formula implementation
- Differentiates early repolarization
- Identifies subtle anterior ST-segment elevation myocardial infarction
- Diagnostic aid for medical professionals
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Calculator implementing the formula from the paper, "Electrocardiographic differentiation of early repolarization from subtle anterior st-segment elevation myocardial infarction," by Smith, et al.
gistalt
This medical game challenges players to quickly assess patient acuity by swiping left for stable patients and right for those needing immediate intervention. It's designed to make training clinical impression skills engaging and fun.
- Patient acuity assessment
- Swipe-based gameplay
- Vital signs and lab results
- Imaging interpretation
- Performance scoring
- Regular content updates
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Your clinical impression (or "gestalt") about a patient's acuity is both critical and difficult to train. gistalt was designed to make it fun! Your goal playing gistalt is to accurately identify which patients are sick (requiring hospitalization or immediate interventions for stabilization) or not-sick (conditions that can be safely treated with outpatient follow-up). gistalt games are simple and fun. You'll start with a stack of patient presentations including vital signs, laboratory results and imaging. Swipe each card left (for not-sick) or right (for-sick) to see the next question. At the end of the stack, review your responses and see your score. Your gistalt score specially gauges your ability to detect the most critically-ill patients and institute the treatments that will make a difference. New questions are added regularly and don't require an app update.
Screenshots
Verdict
The clearest difference is rating: gistalt at 4.9 against SubtleSTEMI's 4.2. SubtleSTEMI's advantage is update cadence (every 8 months vs every 22 months) and iOS requirement (10.0 vs 13.4). On price, review sentiment, ratings volume and ads there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
gistalt holds the better App Store score, 4.9 against 4.2. Both are backed by a comparable volume of ratings — 9 and 16 respectively. Written reviews split almost evenly too, at 100% and 100% positive.
SubtleSTEMI ships an update every 8 months, gistalt every 22 months. The most recent releases landed on October 23, 2026 and October 24, 2026 respectively.
| Parameter | SubtleSTEMI | gistalt |
|---|---|---|
| Price | Free | Free |
| Rating | 4.2 (9 ratings) | 4.9 (16 ratings) — better |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| Number of ratings | 9 | 16 — better |
| Update frequency | Every 8 months — better | Every 22 months |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod — better | iPhone, iPod |
| Requires iOS | 10.0 — better | 13.4 |
| Further details — not scored | ||
| Size | 15 MB | 35 MB |
| Age rating | 17+ | 17+ |
| Developer | Mark Newcomb | Tom Fadial |
Customer experience
SubtleSTEMI
gistalt
In-app purchases
SubtleSTEMI
No in-app purchases
gistalt
No in-app purchases









