# SubtleSTEMI vs gistalt

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.

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.

## The numbers

| Metric | SubtleSTEMI | gistalt |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.2 (9 ratings)](https://appshunter.io/ios/app/subtlestemi/id617146818/reviews) | **[4.9 (16 ratings)](https://appshunter.io/ios/app/gistalt/id1520121253/reviews)** |
| Number of ratings | 9 | **16** |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 8 months** | Every 22 months |
| Monetization | Free | Free |
| Size | 15 MB | 35 MB |
| Requires iOS | **10.0** | 13.4 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Mark Newcomb](https://appshunter.io/developer/617146821) | [Tom Fadial](https://appshunter.io/developer/1316852248) |

## What reviewers say

### SubtleSTEMI

[App page](https://appshunter.io/ios/app/subtlestemi/id617146818)

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.

**Highlights:** ECG formula implementation, Differentiates early repolarization, Identifies subtle anterior ST-segment elevation myocardial infarction, Diagnostic aid for medical professionals

**Features:** macOS Compatibility

**In-app purchases:** none


### gistalt

[App page](https://appshunter.io/ios/app/gistalt/id1520121253)

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.

**Highlights:** Patient acuity assessment, Swipe-based gameplay, Vital signs and lab results, Imaging interpretation, Performance scoring, Regular content updates

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

**In-app purchases:** none


## Frequently asked questions

### Is SubtleSTEMI free?

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

### Is gistalt free?

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

### Which has better reviews, SubtleSTEMI or gistalt?

gistalt is rated higher. SubtleSTEMI averages 4.2 out of 5 from 9 ratings, while gistalt averages 4.9 from 16 ratings.

### Do SubtleSTEMI or gistalt have ads?

Neither SubtleSTEMI nor gistalt shows ads.

### Which is updated more often, SubtleSTEMI or gistalt?

SubtleSTEMI ships an update every 8 months, and gistalt every 22 months. Most recently, SubtleSTEMI was updated on October 23, 2026 and gistalt 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.*