# Tenetrix Insight vs ECGRef

The clearest difference is in-app purchases: ECGRef at none against Tenetrix Insight's 2. Tenetrix Insight's advantage is iOS requirement (15.1 vs 26.0). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. Tenetrix Insight sells 2 in-app purchases, starting at $7.99 per month. ECGRef asks for nothing beyond the download.

Both ship on a similar rhythm, roughly every 2 weeks. The most recent releases landed on October 5, 2026 and October 10, 2026 respectively.

## The numbers

| Metric | Tenetrix Insight | ECGRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.9 (29 ratings)](https://appshunter.io/ios/app/ecgref/id6757675855/reviews)** |
| Number of ratings | — | **29** |
| Positive reviews | — | 100.0% of reviews |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 2 weeks | Every 2 weeks |
| Monetization | — | Free |
| Size | 61 MB | 12 MB |
| Requires iOS | **15.1** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Strandworks LLC](https://appshunter.io/developer/1842246674) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## What reviewers say

### Tenetrix Insight

[App page](https://appshunter.io/ios/app/tenetrix-insight/id6755968457)

**Features:** macOS Compatibility

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Tenetrix Insight Premium (Monthly) | $7.99 | per month |
| Tenetrix Insight Premium (Annual) | $59.99 | per year |


### ECGRef

[App page](https://appshunter.io/ios/app/ecgref/id6757675855)

An educational reference for interpreting electrocardiograms, this app covers electrophysiology, rhythm recognition, and common patterns. It aims to assist clinicians and students in accurate bedside ECG analysis.

**Highlights:** Electrophysiology concepts, Rhythm recognition, Clinically relevant patterns, Bedside ECG analysis support, Educational reference

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

**In-app purchases:** none


## Frequently asked questions

### Is Tenetrix Insight free?

Tenetrix Insight is free to download, with in-app purchases available.

### Is ECGRef free?

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

### Do Tenetrix Insight or ECGRef have ads?

Neither Tenetrix Insight nor ECGRef shows ads.

### Which is updated more often, Tenetrix Insight or ECGRef?

Tenetrix Insight ships an update every 2 weeks, and ECGRef every 2 weeks. Most recently, Tenetrix Insight was updated on October 5, 2026 and ECGRef on October 10, 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.*