# ESC Pocket Guidelines vs EchoRef

ESC Pocket Guidelines and EchoRef both sit at 4.8 stars, but that hides the real split: 100% of EchoRef's written reviews are positive against 51% of ESC Pocket Guidelines's. EchoRef also leads on update cadence (every 2 months vs every 4 months). ESC Pocket Guidelines's advantage is iOS requirement (15.1 vs 26.0). On price, rating, ratings volume and ads there is nothing between them.

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

On the App Store both sit at effectively the same score — 4.8 for ESC Pocket Guidelines against 4.9 for EchoRef. Both are backed by a comparable volume of ratings — 841 and 1.4K respectively. Written reviews are what separate them: 51% of ESC Pocket Guidelines's written reviews are positive against 100% of EchoRef's.

ESC Pocket Guidelines ships an update every 4 months, EchoRef every 2 months. The most recent releases landed on September 21, 2026 and September 18, 2026 respectively.

## The numbers

| Metric | ESC Pocket Guidelines | EchoRef |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.8 (841 ratings)](https://appshunter.io/ios/app/esc-pocket-guidelines/id683079599/reviews) | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/echoref/id1434016053/reviews)** |
| Number of ratings | 841 | **1.4K** |
| Positive reviews | 50.8% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 4 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 44 MB | 105 MB |
| Requires iOS | **15.1** | 26.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [ESC - European Society of Cardiology](https://appshunter.io/developer/440684535) | [Rishi Kumar](https://appshunter.io/developer/1434016052) |

## 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)


### EchoRef

[App page](https://appshunter.io/ios/app/echoref/id1434016053)

This educational reference app provides comprehensive information on point-of-care ultrasound (POCUS), echocardiography, and cardiac measurements. It includes lessons on interventional procedures and hemodynamic calculations for medical professionals.

**Highlights:** Point-of-care ultrasound (POCUS), Transthoracic echocardiography (TTE), Transesophageal echocardiography (TEE), Cardiac dimensions and valve measurements, Hemodynamic and ultrasound calculations, Interventional procedure lessons

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

**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 EchoRef free?

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

### Which has better reviews, ESC Pocket Guidelines or EchoRef?

EchoRef is rated higher. ESC Pocket Guidelines averages 4.8 out of 5 from 841 ratings, while EchoRef averages 4.9 from 1.4K ratings.

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

Neither ESC Pocket Guidelines nor EchoRef shows ads.

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

ESC Pocket Guidelines ships an update every 4 months, and EchoRef every 2 months. Most recently, ESC Pocket Guidelines was updated on September 21, 2026 and EchoRef on September 18, 2026.

---

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