New BSE diastolic function references and guidelines Improved updating system Bug fixes

Minor updates to prosthetic valve reference data

Bug-fixes

Congenital guidelines Promotion of best-practice measurements Bugfixes

Update to remove functionality which renders the app a medical device under UK regulations. The app must not be used in its current format and the update should be installed immediately. Added prosthetic valve and stress echo guidelines.

Fixed typo in Aortic Stenosis ELI page Updated angina pages with new risk of obstructive CAD tables

Updated valve section to adhere to new guidelines

Bug fixes, improved downloader, update to conform with BSE and ESC guidelines

Further bug-fixes for older IOS phones

Finally fixed issue with IOS before 14 and improved graphic handling Bug fixes (eg Diastolic reference intervals) More robust number handling LVEDD/BSA for Dilated Cardiomyopathy screening & family cut-off

Updated Z-scores - added Cantinotti and Pettersen Improved date of birth handling Bug fixes

Added HCM Risk-SCD Calculator Added HCM guide Bug-fixes

Bugfix for Tricuspid calculator crash

Update to include new BSE mitral valve and HOCM guidelines.

Ability to email developer from app Checks for new version Minor bug fixes to manage international dates and numbers

Minor bug-fix to Aortic Stenosis tab and cosmetic change

Huge number of updates and shared codebase with the latest BSE reference intervals

Bug fix to display menu items correctly with Dark Mode

This update addresses a bug in the aortic root calculator which gave the wrong value for z3 scores. The new version gives the correct z3 value. The app has also had an icon and screen resolution update to meet new iPhone standards. Note this version does not update to the new BSE guidelines, which is a separate workstream.

This app has been updated by Apple to display the Apple Watch app icon. - Fixed number format issues for non-UK/US regions - Corrected several minor typos

-New layout with high resolution graphics -Updated normal value data sets -BSE miniguides – BSE protocols for echocardiography in a range of conditions in an easy-to-use easy access format: oAortic stenosis oAortic stenosis discrepancies oAortic regurgitation oMarfan syndrome oMitral stenosis oMitral valve with a view to repair oAortic regurgitation oHypertrophic cardiomyopathy oARVC oPulmonary hypertension oDiastolic dysfunction oRestrictive cardiomyopathy -Diastolic function touchscreen algorithm -Prosthesis-patient mismatch algorithms -Z-scores for aortic root dimensions (both new and old scoring systems, indexed for either BSA or height) -Links to BSE activities, including Echo in Africa, research and social media -New formulae: oLV function: myocardial performance index, dP/dt oLV mass and relative wall thickness oRV function: myocardial performance index, dP/dt oQp:Qs oAortic regurgitation: regurgitant volume and EROA by PISA oAortic stenosis: valvulo-arterial impedance (Zva)

Compatibility updates for iOS 6.

Result display fix for EOA of Prosthetic Mitral Valves Calculation.