Comparison

EKGSmart vs ECG Rhythms

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

Head to head
About

EKGSmart

Features
Read full description

EKGSmart is an ECG/EKG learning and rhythm recognition app designed for healthcare professionals and learners. The app helps users review cardiac rhythms, strengthen arrhythmia recognitions skills, and support faster interpretation through a simple, mobile-friendly experience. Features may include rhythm identification support, educational review tools, and workflow-friendly resources for ECG/EKG learning and practice. EKGSmart is intended for educational, informational, and reference purposes only and is not a substitute for professional medical judgment, diagnosis, or treatment. Terms of use (EULA): https://www.apple.com/legal/internet-services/itunes/devsrdeula/ Privacy Policy: https://ekgsmart-privacy.carrd.co

About

ECG Rhythms

Features
Read full description

Most ECG apps ship a fixed library of tracings. Work through it twice and you stop reading the strip: you start recognising the picture. Then the real thing looks nothing like the picture. This app generates every strip from scratch. Pick atrial fibrillation and you get a different atrial fibrillation every time, with its own rate, its own irregularity, its own baseline. You cannot memorise your way through it, which is the point. WHAT YOU GET Thirty-one rhythms, drawn on a real 25 mm/s, 10 mm/mV grid with a calibration pulse. Sinus rhythms including arrhythmia and pause. Atrial fibrillation and flutter. Supraventricular and junctional rhythms. All four AV blocks. PACs and PVCs, the R-on-T phenomenon, ventricular tachycardia, torsades de pointes, idioventricular and agonal rhythms, ventricular fibrillation and asystole. Paced rhythms, atrial, ventricular and dual-chamber, plus failure to capture and failure to sense. CHOOSE HOW HARD IT IS Answer from a list while you are learning, then switch to open response and name the rhythm yourself with nothing to pick from. Shorthand works, so afib, vtach and Wenckebach all find it. Set the signal quality. Clean is the textbook tracing. Realistic adds the wander and muscle noise of a cooperative patient. Noisy is the strip nobody trains on and everybody eventually gets. SEE WHY, NOT JUST WHETHER Every answer comes with the criteria that define the rhythm, the measured rate, PR, QRS and QT off that exact tracing, and an explanation of why it is not the rhythm you confused it with. MONITOR MODE Recognising a rhythm as it sweeps across a monitor is a different skill from reading a still strip, and it is the one you need at the bedside. Almost nothing else trains it. TRACK WHAT IS STILL SHAKY The rhythms you miss come back more often. The progress page tells you which ones you have down, which ones keep catching you out, and which pairs you are mixing up. ONE PRICE Everything is included. No subscription, no ads, nothing locked behind a second purchase. Works completely offline. For education and exam preparation. Not a medical device and not for clinical diagnosis or patient care.

Screenshots

EKGSmart4 screens
ECG Rhythms4 screens

Verdict

The call

The clearest difference is update cadence: ECG Rhythms at daily against EKGSmart's every 2 months. EKGSmart's advantage is iOS requirement (15.1 vs 17.0). On price, ads, in-app purchases and device support 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. Neither carries in-app purchases, so what you see is what you pay.

UpkeepUpdate frequency

EKGSmart ships an update every 2 months, ECG Rhythms daily. The most recent releases landed on October 24, 2026 and October 7, 2026 respectively.

Scorecard2 real differences · 6 level
EKGSmart versus ECG Rhythms: the parameters behind the verdict, then further details
ParameterEKGSmartECG Rhythms
PriceFreeFree
Rating5.0 (1 ratings) — better—
Number of ratings1 — better—
Update frequencyEvery 2 monthsDaily — better
AdsNoNo
In-app purchasesNoNo
DevicesiPhone, iPodiPhone, iPad
Requires iOS15.1 — better17.0
Further details — not scored
Size47 MB1 MB
Age rating4+12+
DeveloperSunil MallFLETCHER REECE STOBAUGH

In-app purchases

None

EKGSmart

No in-app purchases

None

ECG Rhythms

No in-app purchases

Questions

Is EKGSmart free?
EKGSmart is free to download, with no in-app purchases.
Is ECG Rhythms free?
ECG Rhythms is free to download, with no in-app purchases.
Do EKGSmart or ECG Rhythms have ads?
Neither EKGSmart nor ECG Rhythms shows ads.
Which is updated more often, EKGSmart or ECG Rhythms?
EKGSmart ships an update every 2 months, and ECG Rhythms daily. Most recently, EKGSmart was updated on October 24, 2026 and ECG Rhythms on October 7, 2026.

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