# Periop Pacemaker vs Anesto

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.

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.

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.

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

## The numbers

| Metric | Periop Pacemaker | Anesto |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (8 ratings)](https://appshunter.io/ios/app/periop-pacemaker/id6615070538/reviews)** | [4.8 (6 ratings)](https://appshunter.io/ios/app/anesto-anesthesia-case-log/id6759203365/reviews) |
| Number of ratings | **8** | 6 |
| Positive reviews | 100.0% of reviews | 100.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 5 days** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 43 MB | 72 MB |
| Requires iOS | **13.0** | 15.1 |
| Devices | iPhone, iPod | iPhone, iPod |
| Age rating | 17+ | 4+ |
| Developer | [Rhythm Management, LLC](https://appshunter.io/developer/1761518402) | [LEO PAUL DRUKER](https://appshunter.io/developer/1877386671) |

## What reviewers say

### Periop Pacemaker

[App page](https://appshunter.io/ios/app/periop-pacemaker/id6615070538)

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:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| PERIOP PACEMAKER ANNUAL FEE | $2.99 | per year |
| Periop Pacemaker | $7.99 | one-time |


### Anesto

[App page](https://appshunter.io/ios/app/anesto-anesthesia-case-log/id6759203365)

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:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Anesto Pro | $6.99 | per month |
| Anesto Pro (Yearly) | $69.99 | per year |


## Frequently asked 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.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*