# HeartFlow vs ManageMR

The clearest difference is update cadence: HeartFlow at every 2 months against ManageMR's every 21 months. HeartFlow also leads on ratings volume (31 vs 1). 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 — 4.9 for HeartFlow against 5.0 for ManageMR. That said, the two scores are not equally well evidenced: HeartFlow has 31 ratings behind it against 1, so its average is the more settled of the two.

HeartFlow ships an update every 2 months, ManageMR every 21 months. The most recent releases landed on October 24, 2026 and October 12, 2026 respectively.

## The numbers

| Metric | HeartFlow | ManageMR |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.9 (31 ratings)](https://appshunter.io/ios/app/heartflow/id994343238/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/managemr/id1294761656/reviews)** |
| Number of ratings | **31** | 1 |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 21 months |
| Monetization | Free | Free |
| Size | 79 MB | 58 MB |
| Requires iOS | 13.0 | 13.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [HeartFlow](https://appshunter.io/developer/994343236) | [American College of Cardiology](https://appshunter.io/developer/502174543) |

## What reviewers say

### HeartFlow

[App page](https://appshunter.io/ios/app/heartflow/id994343238)

This application provides clinicians with a mobile platform to monitor patient HeartFlow FFRct Analyses. It allows for quick viewing of patient lists, analysis statuses, and personalized 3D cardiac models with FFRct values. A preview mode is available for those curious to explore the technology.

**Highlights:** Patient analysis status monitoring, Personalized 3D cardiac models, FFRct value visualization, Quick patient list scanning, Introduction experience preview

**In-app purchases:** none


### ManageMR

[App page](https://appshunter.io/ios/app/managemr/id1294761656)

This medical app offers personalized referral and treatment guidance for mitral regurgitation patients. It analyzes echo assessment parameters to determine MR severity, etiology, and recommend appropriate interventions like valve repair or replacement.

**Highlights:** Personalized referral advice, Treatment recommendations, MR severity and etiology analysis, Mitral valve repair vs. replacement feasibility, Echo assessment parameter entry

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

**In-app purchases:** none


## Frequently asked questions

### Is HeartFlow free?

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

### Is ManageMR free?

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

### Which has better reviews, HeartFlow or ManageMR?

ManageMR is rated higher. HeartFlow averages 4.9 out of 5 from 31 ratings, while ManageMR averages 5.0 from 1 ratings.

### Do HeartFlow or ManageMR have ads?

Neither HeartFlow nor ManageMR shows ads.

### Which is updated more often, HeartFlow or ManageMR?

HeartFlow ships an update every 2 months, and ManageMR every 21 months. Most recently, HeartFlow was updated on October 24, 2026 and ManageMR on October 12, 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.*