Comparison

Periop Pacemaker vs Anesto

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Periop Pacemaker

This app provides medical professionals with a decision algorithm for managing surgical patients with implantable defibrillators or pacemakers. It is based on guidelines endorsed by the Heart Rhythm Society and updated annually by an expert committee.

Highlights
  • Decision algorithm for pacemaker/defibrillator management
  • Endorsed by Heart Rhythm Society
  • Based on ASA Perioperative Cardiac Implantable Electronic Device Management Aid
  • Annual expert committee updates
  • Designed for medical professionals
Features
Read full description

Periop Pacemaker is a smartphone app that assists medical professionals who take care of surgical patients that have implantable defibrillators or pacemakers. The decision algorithm is endorsed by the Heart Rhythm Society and is based on the American Society of Anesthesiologists Perioperative Cardiac Implantable Electronic Device Management Aid. As device technology evolves, an expert committee of anesthesiologists, cardiologists, and device representatives will meet annually to keep information up-to-date. Disclaimer: ASA Pacemaker is designed for use by medical professionals only. Accessing the app content requires either a one-time payment of $7.99 USD or an annual subscription payment of $2.99 USD. A 30-day free trial is available under the annual subscription plan.

About

Anesto

Streamline your anesthesia case logging with AI-powered voice or text input. Track ACGME progress, generate credentialing reports, and manage your case history effortlessly. Designed for anesthesiologists, residents, and CRNAs.

Highlights
  • AI voice and text case logging
  • Structured clinical records
  • ACGME progress dashboard
  • Hospital credentialing reports
  • CRNA practice model tracking
  • Cloud backup and sync
  • Offline functionality
Features
Read full description

Say the case. Anesto logs it. Type or say it the way you'd tell a colleague, tap Log Case, and move on to the next room. "Reverse total shoulder, MAC with interscalene block, ASA 1, and then an ASA 1 lap chole with RSI and a Glidescope" becomes two complete records: procedure, block and ASA, all filled in. Built by a practicing cardiac anesthesiologist, for attendings, residents, fellows, and CRNAs. LOG WITHOUT HUNTING FOR THE APP Say "Hey Siri, log a case in Anesto," or tap the mic on the Home Screen or Lock Screen widget. You can also put "Log a case" in Control Center or on the Action Button. PLAN TOMORROW TONIGHT Say or type tomorrow's cases, room by room. Nothing becomes a case until you ink it the next day, with one tap. SEND TO ACGME FROM YOUR PHONE No laptop, no browser extension, no retyping. Connect your ACGME account, then tap Send. Anesto fills in the ACGME form from your case, sends it, and checks that it landed, so nothing gets logged twice. You sign in on ACGME's own page, so Anesto never sees your username or password. And it only ever adds cases. It never changes or deletes anything on ACGME. KNOW WHERE YOU STAND Every ACGME minimum, what you're still short on, and the pace you need to graduate on time. One tap brings in ACGME's own totals from your Minimums report, side by side with Anesto's. Each case you log shows which minimums it counts toward. Residents get a free residency log PDF, every case and every count, to keep for credentialing after graduation. Cardiothoracic fellows get their own minimums, a TEE log, a fellowship report, and ACGME case and TEE submissions. FOR ATTENDINGS Credentialing and reappointment stop being a scavenger hunt. Log as you go, and Anesto Pro turns it into a clean PDF of every case you've done, counted by facility, for exactly the dates the credentialing office asks for. FOR CRNAs Built for how you practice. Tell Anesto once whether you're independent, medically directed or medically supervised, and every case carries it. YOUR CREDENTIALS, IN ONE PLACE Keep your licenses, DEA, ACLS/PALS and board certifications together, with a heads-up before they expire. LOG IT HOWEVER YOU LOG - Voice or text. Shorthand and typos welcome. - Repeat your last case, or one you do often, with one tap. - Back-to-back cases? Say them in one go, and each gets its own record. - Not sure what you meant? Anesto asks instead of guessing. - Saves instantly, even with no signal. - Deleted something by mistake? Undo it, or restore it from Recently Deleted for 30 days. - Backs up on its own, hospitals included. New phone? Sign in, and it's all there. - Pain consults, Block Day, unintended events, and outcomes. - Export to CSV any time. YOUR PRIVACY Anesto never asks for patient names or MRNs. Case text is read by Anthropic's Claude and voice is transcribed by Groq only after you say yes, and you can turn that off anytime in Account. FREE, AND PRO Residents and fellows: everything is free, including ACGME sending. Attendings and CRNAs: logging, AI, Siri and widgets, Plan tomorrow, hospital sites, backup, history, search and CSV export are free. Anesto Pro adds PDF credentialing reports, custom date ranges, practice event analytics, and Credentials with reminders for $6.99/month or $69.99/year, with a 7-day free trial for new users. Payment is charged to your Apple Account. Subscriptions renew automatically unless canceled at least 24 hours before the end of the current period. Manage or cancel in Settings > Apple Account > Subscriptions. Something broken, or something Anesto should do? Message me from the Account tab. I answer fast. Anesto is not affiliated with or endorsed by ACGME. Anesto is a logging tool. It does not give medical advice or clinical decision support. Privacy Policy: https://anesto.app/privacy Terms of Use: https://anesto.app/terms

Screenshots

Periop Pacemaker4 screens
Anesto4 screens

Verdict

The call

The clearest difference is update cadence: Anesto at every 5 days against Periop Pacemaker's every 2 months. Periop Pacemaker's advantage is iOS requirement (13.0 vs 15.1). On price, rating, review sentiment and ratings volume 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

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Periop Pacemaker sells 2 in-app purchases, starting at $2.99 per year and Anesto sells 2 in-app purchases, starting at $6.99 per month. Whichever you choose, the download price is not the number that matters.

ReceptionRating · Positive reviews · Number of ratings

Periop Pacemaker holds the better App Store score, 5.0 against 4.8. Both are backed by a comparable volume of ratings — 8 and 6 respectively. Written reviews split almost evenly too, at 100% and 100% positive.

UpkeepUpdate frequency

Periop Pacemaker ships an update every 2 months, Anesto every 5 days. Both last shipped on October 25, 2026.

Scorecard2 real differences · 8 level
Periop Pacemaker versus Anesto: the parameters behind the verdict, then further details
ParameterPeriop PacemakerAnesto
PriceFreeFree
Rating5.0 (8 ratings) — better4.8 (6 ratings)
Positive reviews100.0% of reviews100.0% of reviews
Number of ratings8 — better6
Update frequencyEvery 2 monthsEvery 5 days — better
AdsNoNo
In-app purchasesYesYes
MonetizationFree with in-app purchasesFree with in-app purchases
DevicesiPhone, iPodiPhone, iPod
Requires iOS13.0 — better15.1
Further details — not scored
Size43 MB72 MB
Age rating17+4+
DeveloperRhythm Management, LLCLEO PAUL DRUKER

Customer experience

Periop Pacemaker

All ratings8 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews5 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

Anesto

All ratings6 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews3 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

2 purchases

Periop Pacemaker

Subscriptions1
  • PERIOP PACEMAKER ANNUAL FEE1 Month trial$2.991 Year
One-time1
  • Periop Pacemaker$7.99
2 purchases

Anesto

Subscriptions2
  • Anesto Pro7 Days trial$6.991 Month
  • Anesto Pro (Yearly)7 Days trial$69.991 Year

Questions

Is Periop Pacemaker free?
Periop Pacemaker is free to download, with in-app purchases available.
Is Anesto free?
Anesto is free to download, with in-app purchases available.
Which has better reviews, Periop Pacemaker or Anesto?
Periop Pacemaker is rated higher. Periop Pacemaker averages 5.0 out of 5 from 8 ratings, while Anesto averages 4.8 from 6 ratings.
Do Periop Pacemaker or Anesto have ads?
Neither Periop Pacemaker nor Anesto shows ads.
Which is updated more often, Periop Pacemaker or Anesto?
Periop Pacemaker ships an update every 2 months, and Anesto every 5 days. Most recently, Periop Pacemaker was updated on October 25, 2026 and Anesto on October 25, 2026.

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