# ESC Pocket Guidelines vs EchoGuide by ASE

ESC Pocket Guidelines and EchoGuide by ASE both sit at 4.8 stars, but that hides the real split: 75% of EchoGuide by ASE's written reviews are positive against 51% of ESC Pocket Guidelines's. EchoGuide by ASE also leads on update cadence (monthly vs every 4 months). ESC Pocket Guidelines's advantage is ratings volume (841 vs 41). On price, rating, ads and in-app purchases 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 4.7 for EchoGuide by ASE. That said, the two scores are not equally well evidenced: ESC Pocket Guidelines has 841 ratings behind it against 41, so its average is the more settled of the two. Written reviews are what separate them: 51% of ESC Pocket Guidelines's written reviews are positive against 75% of EchoGuide by ASE's.

ESC Pocket Guidelines ships an update every 4 months, EchoGuide by ASE monthly. The most recent releases landed on September 21, 2026 and September 10, 2026 respectively.

## The numbers

| Metric | ESC Pocket Guidelines | EchoGuide by ASE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (841 ratings)](https://appshunter.io/ios/app/esc-pocket-guidelines/id683079599/reviews)** | [4.7 (41 ratings)](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048/reviews) |
| Number of ratings | **841** | 41 |
| Positive reviews | 50.8% of reviews | **75.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 4 months | **Monthly** |
| Monetization | Free | Free |
| Size | 44 MB | 96 MB |
| Requires iOS | 15.1 | **14.2** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [ESC - European Society of Cardiology](https://appshunter.io/developer/440684535) | [American Society of Echocardiography](https://appshunter.io/developer/421031128) |

## 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)


### EchoGuide by ASE

[App page](https://appshunter.io/ios/app/echoguide-by-ase/id1582601048)

This medical app offers over 50 calculators, algorithms, and charts based on key guidelines for cardiac care professionals. It allows users to favorite interactive tools for quick access to a wide range of echocardiography measurements and assessments.

**Highlights:** Over 50 calculators, algorithms, and charts, Based on ASE guidelines, Favorite interactive tools, Cardiac care reference, Echocardiography measurements

**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 EchoGuide by ASE free?

EchoGuide by ASE is free to download, with no in-app purchases.

### Which has better reviews, ESC Pocket Guidelines or EchoGuide by ASE?

ESC Pocket Guidelines is rated higher. ESC Pocket Guidelines averages 4.8 out of 5 from 841 ratings, while EchoGuide by ASE averages 4.7 from 41 ratings.

### Do ESC Pocket Guidelines or EchoGuide by ASE have ads?

Neither ESC Pocket Guidelines nor EchoGuide by ASE shows ads.

### Which is updated more often, ESC Pocket Guidelines or EchoGuide by ASE?

ESC Pocket Guidelines ships an update every 4 months, and EchoGuide by ASE monthly. Most recently, ESC Pocket Guidelines was updated on September 21, 2026 and EchoGuide by ASE on September 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.*