# ACC Guideline Clinical App vs iPacemaker Device

The clearest difference is in-app purchases: ACC Guideline Clinical App at none against iPacemaker Device's 7. ACC Guideline Clinical App also leads on review sentiment (63% vs 28%) and rating (4.9 vs 4.6). iPacemaker Device's advantage is update cadence (every 4 days vs every 6 months) and chart position (#49 vs unranked). On price, ads and device support there is nothing between them.

Both are free to download. iPacemaker Device sells 7 in-app purchases, starting at $9.99 per month. ACC Guideline Clinical App asks for nothing beyond the download.

ACC Guideline Clinical App holds the better App Store score, 4.9 against 4.6. Both are backed by a comparable volume of ratings — 1.4K and 372 respectively. Written reviews point the same way: 63% of ACC Guideline Clinical App's written reviews are positive against 28% of iPacemaker Device's.

ACC Guideline Clinical App ships an update every 6 months, iPacemaker Device every 4 days. The most recent releases landed on October 28, 2026 and October 26, 2026 respectively.

## The numbers

| Metric | ACC Guideline Clinical App | iPacemaker Device |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (1.4K ratings)](https://appshunter.io/ios/app/acc-guideline-clinical-app/id931723742/reviews)** | [4.6 (372 ratings)](https://appshunter.io/ios/app/ipacemaker-device/id1126088055/reviews) |
| Number of ratings | **1.4K** | 372 |
| Positive reviews | **62.5% of reviews** | 27.9% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 4 days** |
| Monetization | **Free** | Free with in-app purchases |
| Best chart rank | — | **#49** |
| Size | 353 MB | 218 MB |
| Requires iOS | **12.0** | 17.6 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [American College of Cardiology](https://appshunter.io/developer/502174543) | [IPACEMAKER S.R.L.](https://appshunter.io/developer/1780219062) |

## What reviewers say

### ACC Guideline Clinical App

[App page](https://appshunter.io/ios/app/acc-guideline-clinical-app/id931723742)

Access comprehensive clinical guideline recommendations and utilize interactive tools like risk scores and calculators. This app provides a mobile resource for healthcare professionals managing cardiovascular disease patients, offering features such as bookmarks and note-taking.

**Highlights:** Clinical guideline recommendations, Interactive risk scores, Dosing calculators, Customizable bookmarks, Note-taking functionality, Emailable PDFs

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

**In-app purchases:** none

**What reviewers like**

- 👍 Simple and intuitive user interface
- 💡 Comprehensive cardiology guidelines in one app
- 🚀 Quick reference and easy navigation
- 📚 Multiple ways to present information
- 🔍 Helpful search functionality

**What reviewers complain about**

- 🐛 App crashes after iOS updates
- 🔍 Poorly organized content structure
- ❌ Missing some guidelines
- 📱 Not optimized for various iPhone models
- ⚠️ Confusing guidelines presentation

**Reported bugs**

- App stops working after Android version upgrade
- Incompatibility error message after iOS updates
- App crashes on latest iOS versions
- Difficult to download new guidelines
- Device compatibility issues persist

**Requested features**

- Add missing guidelines (HAS BLED, CHADS)
- Optimize app size for iPhone X, XS, XR, XS Max
- Optimize for iPhone 6/6 Plus
- Improve search functionality with AI
- Expand guideline coverage


### iPacemaker Device

[App page](https://appshunter.io/ios/app/ipacemaker-device/id1126088055)

**Currently charting:** #49 Top Grossing · Medical (US App Store)

Access a vast database of implantable cardiac devices, including pacemakers and defibrillators. Get detailed technical specifications, connector information, advisories, and MRI compatibility checks. Compare devices and explore algorithms to aid in selection and management.

**Highlights:** Extensive device database, Detailed technical datasheets, Connector and tool information, Advisories and safety warnings, Multibrand MRI compatibility evaluation, Algorithm descriptions, Side-by-side device comparison

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

**In-app purchases (7)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 month subscription REGULAR | $9.99 | per month |
| 3 Months Subscription | $49.99 | per 3 months |
| 12 months subscription REGULAR | $49.99 | per year |
| 6 Months Subscription | $59.99 | per 6 months |
| 12 Months Subscription | $99.99 | per year |
| 12 months subscription PREMIUM | $109.99 | per year |
| 12 months subscription PREMIUM | $109.99 | per year |

**What reviewers like**

- 👍 Great resource for cardiac rhythm devices
- 👍 App is useful for professionals
- 👍 Some users find it helpful
- 👍 Support team helped some users

**What reviewers complain about**

- 💸 Prohibitively expensive
- 💸 Price increase is steep
- 💸 So expensive for no reason
- 💸 Creator got greedy
- 💸 Subscription fees are ridiculous

**Reported bugs**

- App keeps refreshing, cannot open
- App cannot be opened
- App enters interface and stops, cannot open
- App has not worked for years
- App hasn't worked for days

**Requested features**

- More equitable evaluation of company representation
- Fix app hanging/slow opening
- Update for newer devices
- Grandfather in lifetime members
- Refund original charge for lifetime members


## Frequently asked questions

### Is ACC Guideline Clinical App free?

ACC Guideline Clinical App is free to download, with no in-app purchases.

### Is iPacemaker Device free?

iPacemaker Device is free to download, with in-app purchases available.

### Which has better reviews, ACC Guideline Clinical App or iPacemaker Device?

ACC Guideline Clinical App is rated higher. ACC Guideline Clinical App averages 4.9 out of 5 from 1.4K ratings, while iPacemaker Device averages 4.6 from 372 ratings.

### Do ACC Guideline Clinical App or iPacemaker Device have ads?

Neither ACC Guideline Clinical App nor iPacemaker Device shows ads.

### Which is updated more often, ACC Guideline Clinical App or iPacemaker Device?

ACC Guideline Clinical App ships an update every 6 months, and iPacemaker Device every 4 days. Most recently, ACC Guideline Clinical App was updated on October 28, 2026 and iPacemaker Device on October 26, 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.*