# ESC Pocket Guidelines vs EF

The clearest difference is update cadence: ESC Pocket Guidelines at every 4 months against EF's every 48 months. EF's advantage is iOS requirement (12.0 vs 15.1). On price, ads, in-app purchases and device support there is nothing between them.

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

ESC Pocket Guidelines ships an update every 4 months, EF every 48 months. The most recent releases landed on October 12, 2026 and October 1, 2026 respectively.

## The numbers

| Metric | ESC Pocket Guidelines | EF |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (841 ratings)](https://appshunter.io/ios/app/esc-pocket-guidelines/id683079599/reviews)** | — |
| Number of ratings | **841** | — |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 4 months** | Every 48 months |
| Monetization | Free | — |
| Size | 44 MB | 22 MB |
| Requires iOS | 15.1 | **12.0** |
| Devices | iPhone, iPad, iPod | **iPhone, iPad, iPod, Apple Watch** |
| Age rating | 17+ | 17+ |
| Developer | [ESC - European Society of Cardiology](https://appshunter.io/developer/440684535) | [Keiji Matsui](https://appshunter.io/developer/365287272) |

## What reviewers say

### ESC Pocket Guidelines

[App page](https://appshunter.io/ios/app/esc-pocket-guidelines/id683079599)

Access a comprehensive library of the latest cardiovascular disease guidelines and consensus statements from the European Society of Cardiology. Features include interactive algorithms, full-text search, bookmarking, note-taking, and content sharing capabilities for quick reference and study.

**Highlights:** Latest ESC Guidelines (2023-2025), Interactive algorithms, Full-text search, Bookmarking and notes, Content sharing, Printable pages

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

**In-app purchases:** none

**What reviewers like**

- 👍 Practical and handy for clinical use
- 📚 Valuable medical information and guidelines
- ⭐ Excellent content quality
- 🎯 Easy to use interface

**What reviewers complain about**

- 🐛 Frequent app crashes and stability issues
- 🔐 Sign-in system problematic and unnecessary
- 📖 Small font size and poor design readability
- ❌ Missing content topics after updates
- ⚪ Blank white page display issues

**Reported bugs**

- App crashes on iPad and iPhone devices
- Login authentication failures
- White blank page display
- App crashes when opening pathways
- Guidelines not appearing in downloaded folder

**Requested features**

- Update to support iPad Mini 6 resolution
- Include 2023 ESC Congress updates
- Remove or make sign-in optional
- Improve font size and design for better readability
- Add new guidelines (e.g., 2013 stable angina guidelines)


### EF

[App page](https://appshunter.io/ios/app/ef-ejection-fraction/id1342185936)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is ESC Pocket Guidelines free?

ESC Pocket Guidelines is free to download, with no in-app purchases.

### Is EF free?

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

### Do ESC Pocket Guidelines or EF have ads?

Neither ESC Pocket Guidelines nor EF shows ads.

### Which is updated more often, ESC Pocket Guidelines or EF?

ESC Pocket Guidelines ships an update every 4 months, and EF every 48 months. Most recently, ESC Pocket Guidelines was updated on October 12, 2026 and EF on October 1, 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.*