TEE Alternative Views vs EchoRef
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
TEE Alternative Views
This app offers a unique learning environment for understanding complex 3D heart structures through 19 non-standard 2D echocardiographic views. It combines a rotatable 3D heart model with associated TEE clips, allowing users to visualize internal cardiac anatomy and perform more comprehensive studies.
- 19 non-standard 2D TEE views
- Rotatable 3D heart model
- Interactive echocardiographic plane
- TEE clip visualization
- Internal cardiac structure reveal
- Enhanced TEE study learning
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The primary challenge in learning TEE is translating the two dimensional echocardiographic image into a visualization of the complex three-dimensional (3D) structure of the heart. This TEE Alternative Views app provides a learning environment where users can explore 19 non-standard but complimentary 2D TEE views using two visualization methods simultaneously: (1) a rotatable 3D heart model with an echocardiographic plane and (2) the associated TEE clip. The 3D heart model and echo plane can be rotated, helping to relate the echocardiographic image to heart structures. Part of the heart above the echo plane can be removed, revealing the internal cardiac structures that correspond to the TEE image. This app will enable the user to perform a more complete TEE study than can be obtained from the 20 standard TEE views. For the 20 standard TEE views, please refer to our TEE Standard Views app. The 19 alternative TEE views illustrated in this app are: Coronary Sinus View (100 Degrees) Coronary Sinus View (0 Degrees) Tricuspid Valve Transgastric Short Axis View Tricuspid Valve Mid-Esophageal View Pulmonic Valve Transgastric View Pulmonary Artery Mid Esophageal Right Coronary Artery View Coronary Arteries View Left Pulmonary Veins View Right Pulmonary Veins View Right Upper Pulmonary Vein View Arch Innominate Artery View Arch Left Common Carotid Artery (LCCA) View Arch Subclavian (LSCA) View Five Chamber View Hepatic Vein View Left Atrial Appendage View 1 Left Atrial Appendage View 2 Superior and Inferior Vena Cava View
EchoRef
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.
- Point-of-care ultrasound (POCUS)
- Transthoracic echocardiography (TTE)
- Transesophageal echocardiography (TEE)
- Cardiac dimensions and valve measurements
- Hemodynamic and ultrasound calculations
- Interventional procedure lessons
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EchoRef is a free iOS ultrasonography educational reference covering point-of-care ultrasound (POCUS), transthoracic echocardiography (TTE), and transesophageal echocardiography (TEE). Additionally, it contains cardiac dimensions, native/prosthetic valve measurements, hemodynamic/ultrasound calculations, and lessons ranging from interventional procedures to mechanical circulatory support. This app is intended for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding a medical condition, and never disregard or delay seeking professional advice because of information provided by this app. About Rishi Kumar, MD, FACC ("RK.MD") I'm an adult cardiothoracic anesthesiologist and cardiovascular ICU intensivist practicing in academic medicine. I'm passionate about teaching with free, open-access medical education. Learn more on my site: https://rk.md
Screenshots
Verdict
The clearest difference is review sentiment: EchoRef at 100% against TEE Alternative Views's 50%. EchoRef also leads on price (Free vs $4.99) and rating (4.9 vs 4.0). TEE Alternative Views's advantage is iOS requirement (6.0 vs 26.0). On 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
EchoRef is free to download; TEE Alternative Views costs $4.99 up front. Neither carries in-app purchases, so what you see is what you pay.
EchoRef holds the better App Store score, 4.9 against 4.0. That said, the two scores are not equally well evidenced: EchoRef has 1.4K ratings behind it against 1, so its average is the more settled of the two. Written reviews point the same way: 50% of TEE Alternative Views's written reviews are positive against 100% of EchoRef's.
TEE Alternative Views ships an update every 6 months, EchoRef every 2 months. The most recent releases landed on October 3, 2026 and October 11, 2026 respectively.
| Parameter | TEE Alternative Views | EchoRef |
|---|---|---|
| Price | $4.99 | Free — better |
| Rating | 4.0 (1 ratings) | 4.9 (1.4K ratings) — better |
| Positive reviews | 50.0% of reviews | 100.0% of reviews — better |
| Number of ratings | 1 | 1.4K — better |
| Update frequency | Every 6 months | Every 2 months — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Paid | Free — better |
| Devices | iPad | iPhone, iPad — better |
| Requires iOS | 6.0 — better | 26.0 |
| Further details — not scored | ||
| Size | 70 MB | 105 MB |
| Age rating | 4+ | 17+ |
| Developer | University Health Network | Rishi Kumar |
Customer experience
TEE Alternative Views
EchoRef
In-app purchases
TEE Alternative Views
No in-app purchases
EchoRef
No in-app purchases
Questions
Is TEE Alternative Views free?
Is EchoRef free?
Which has better reviews, TEE Alternative Views or EchoRef?
Do TEE Alternative Views or EchoRef have ads?
Which is updated more often, TEE Alternative Views or EchoRef?
Other comparisons
