# Valve In Valve vs Echocardio Notes

The clearest difference is rating: Echocardio Notes at 5.0 against Valve In Valve's 4.6. Echocardio Notes also leads on iOS requirement (13.4 vs 15.1). Valve In Valve's advantage is ratings volume (10 vs 1). On price, update cadence, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Echocardio Notes holds the better App Store score, 5.0 against 4.6. That said, the two scores are not equally well evidenced: Valve In Valve has 10 ratings behind it against 1, so its average is the more settled of the two.

Valve In Valve ships an update every 2 months, Echocardio Notes every 6 weeks. The most recent releases landed on September 24, 2026 and October 11, 2026 respectively.

## The numbers

| Metric | Valve In Valve | Echocardio Notes |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.6 (10 ratings)](https://appshunter.io/ios/app/valve-in-valve/id655683780/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/echocardio-notes/id1558887351/reviews)** |
| Number of ratings | **10** | 1 |
| Positive reviews | 71.4% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 6 weeks** |
| Monetization | Free | Free |
| Size | 41 MB | 12 MB |
| Requires iOS | 15.1 | **13.4** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [KRUTSCH](https://appshunter.io/developer/1454678018) | [Web Artisans, Unipessoal Lda](https://appshunter.io/developer/1279073298) |

## What reviewers say

### Valve In Valve

[App page](https://appshunter.io/ios/app/valve-in-valve/id655683780)

This app provides clinicians with quick, clear, and concise information on heart valves and Valve in Valve therapy. It guides users through surgical and TAVR valve design, helping to plan and perform procedures by identifying surgical valves, selecting correct TAVR valve sizes, and determining optimal placement. The app offers offline access to vital information, enhancing understanding and improving patient outcomes.

**Highlights:** Heart valve design information, Valve in Valve therapy guide, Surgical and TAVR valve sizing, Image-based placement guidance, Video examples of valve placement, Offline information access, Stepped valve identification process

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

**In-app purchases:** none


### Echocardio Notes

[App page](https://appshunter.io/ios/app/echocardio-notes/id1558887351)

This medical reference app offers quick access to current echocardiography values and protocols. Its clean interface provides essential information for healthcare professionals on smartphones and tablets.

**Highlights:** Up-to-date reference values, Echocardiography protocols, Quick and intuitive interface, Smartphone and tablet compatible, Free to use

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

**In-app purchases:** none


## Frequently asked questions

### Is Valve In Valve free?

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

### Is Echocardio Notes free?

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

### Which has better reviews, Valve In Valve or Echocardio Notes?

Echocardio Notes is rated higher. Valve In Valve averages 4.6 out of 5 from 10 ratings, while Echocardio Notes averages 5.0 from 1 ratings.

### Do Valve In Valve or Echocardio Notes have ads?

Neither Valve In Valve nor Echocardio Notes shows ads.

### Which is updated more often, Valve In Valve or Echocardio Notes?

Valve In Valve ships an update every 2 months, and Echocardio Notes every 6 weeks. Most recently, Valve In Valve was updated on September 24, 2026 and Echocardio Notes on October 11, 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.*