Comparison

TEE Alternative Views vs EchoRef

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

Head to head
About

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.

Highlights
  • 19 non-standard 2D TEE views
  • Rotatable 3D heart model
  • Interactive echocardiographic plane
  • TEE clip visualization
  • Internal cardiac structure reveal
  • Enhanced TEE study learning
Read full description

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

About

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.

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
Read full description

Echocardiography and point-of-care ultrasound organized for the bedside. EchoRef is a comprehensive echocardiography and ultrasound reference for physicians, nurses, advanced practice clinicians, sonographers, medical students, and other healthcare learners. Review TEE, TTE, and POCUS videos, check cardiac measurements and diagnostic criteria, evaluate native and prosthetic valves, and perform commonly used ultrasound and hemodynamic calculations, all in one focused reference. FEATURES • Educational video library covering 2D and 3D TEE, interventional echocardiography, mechanical circulatory support, and clinical cases • POCUS instruction for cardiac, lung, abdominal, vascular, and peripheral nerve block examinations • Cardiac anatomy measurements and reference values for chamber size, ventricular function, diastology, and vascular structures • Native valve assessment for aortic, mitral, tricuspid, and pulmonic stenosis and regurgitation • Prosthetic valve reference for surgical valves, TAVR, and prosthesis evaluation • Ultrasound and hemodynamic calculators for valve area, cardiac output, ventricular function, filling pressures, vascular resistance, shunts, fluid responsiveness, and more • Cardiac equations, hemodynamic reference values, and ultrasound physics • Clinical protocols, focused examination guidance, findings atlas, and reporting documentation • Acquisition guidance, measurement tips, common pitfalls, and related clinical content • Global search, favorites, related links, and personal notes EchoRef connects ultrasound physics, image acquisition, echocardiographic interpretation, and bedside decision-making. Whether you are learning standard views, reviewing an unfamiliar finding, evaluating valve disease, or checking a calculation, the app makes relevant information easy to find. Created by Rishi Kumar, MD, FACC (“RK.MD”), an academic adult cardiothoracic anesthesiologist and cardiovascular ICU intensivist committed to free, open-access medical education. Learn more at https://rk.md EchoRef is intended for educational and informational purposes only. It does not provide medical advice and is not a substitute for professional judgment, diagnosis, or treatment. Clinical findings and calculations must be independently verified and interpreted in the context of the individual patient. Seek guidance from a qualified healthcare professional regarding any medical condition. Do not disregard or delay professional medical advice because of information provided by this app.

Screenshots

EchoRef4 screens

Verdict

The call

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

CostPrice · In-app purchases · Ads · Monetization

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.

ReceptionRating · Positive reviews · Number of ratings

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.

UpkeepUpdate frequency

TEE Alternative Views ships an update every 6 months, EchoRef every 2 months. The most recent releases landed on November 1, 2026 and November 2, 2026 respectively.

Scorecard7 real differences · 3 level
TEE Alternative Views versus EchoRef: the parameters behind the verdict, then further details
ParameterTEE Alternative ViewsEchoRef
Price$4.99Free — better
Rating4.0 (1 ratings)4.9 (1.4K ratings) — better
Positive reviews50.0% of reviews100.0% of reviews — better
Number of ratings11.4K — better
Update frequencyEvery 6 monthsEvery 2 months — better
AdsNoNo
In-app purchasesNoNo
MonetizationPaidFree — better
DevicesiPadiPhone, iPad — better
Requires iOS6.0 — better26.0
Further details — not scored
Size70 MB104 MB
Age rating4+17+
DeveloperUniversity Health NetworkRishi Kumar

Customer experience

TEE Alternative Views

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews4 reviews
Positive50.0%
Neutral0.0%
Negative50.0%

EchoRef

All ratings1,387 ratings
Positive97.2%
Neutral1.4%
Negative1.4%
Written reviews12 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

None

TEE Alternative Views

No in-app purchases

None

EchoRef

No in-app purchases

Questions

Is TEE Alternative Views free?
TEE Alternative Views costs $4.99, with no in-app purchases.
Is EchoRef free?
EchoRef is free to download, with no in-app purchases.
Which has better reviews, TEE Alternative Views or EchoRef?
EchoRef is rated higher. TEE Alternative Views averages 4.0 out of 5 from 1 ratings, while EchoRef averages 4.9 from 1.4K ratings.
Do TEE Alternative Views or EchoRef have ads?
Neither TEE Alternative Views nor EchoRef shows ads.
Which is updated more often, TEE Alternative Views or EchoRef?
TEE Alternative Views ships an update every 6 months, and EchoRef every 2 months. Most recently, TEE Alternative Views was updated on November 1, 2026 and EchoRef on November 2, 2026.

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