Best Smartwatches for ECG functionality

ECG functionality Decision Dashboard

Best for ECG functionality

Apple Watch Series 11

4.8 attribute score

Highest scored product for this attribute based on supporting review evidence.

Safest pick

Withings ScanWatch 2

4.6 attribute score

Balances the attribute score, supporting reviews, and overall product strength.

Most evidence

Apple Watch SE 3

24 supporting reviews

Has the broadest review evidence for this attribute.

Best overall product

Apple Watch Series 12

4.3 overall score

Strongest overall product among items with scored evidence for this attribute.

#1 Apple Watch Series 11
4.8

The ECG feature receives strong support from a reviewer’s real family example where on-watch ECG readings caught an irregular rhythm missed elsewhere.

Pros: battery life, value for money

Cons: coaching features, recovery insights

#2 Withings ScanWatch 2
4.6

ECG functionality was consistently praised as simple, useful, medically oriented, and easy to share with a doctor.

Pros: style and design, battery life

Cons: smartwatch features, value for money

#3 Apple Watch Series 12
4.5

The expanded sensing surface appears to improve ECG capture, including a smoother experience for one user who had trouble with an older Apple Watch.

Pros: value for money, heart rate accuracy

Cons: data privacy

#4 Apple Watch Ultra 2
4.5

ECG was treated as part of Apple Watch’s serious health-safety suite, with reviewers connecting it to potentially life-saving monitoring.

Pros: battery life, voice assistant quality

Cons: value for money, mapping and navigation

#5 Garmin Venu 4
4.5

The ECG feature received limited but positive opinionated evidence, with one reviewer saying the wrist measurement worked reliably.

Pros: battery life, GPS accuracy

Cons: value for money, voice assistant quality

#6 Google Pixel Watch 4
4.5

ECG was treated as a valuable health and safety tool when reviewers discussed the health feature set.

Pros: battery life, charging speed

Cons: band quality, button controls

#7 Samsung Galaxy Watch Ultra (2025)
4.5

ECG is treated positively as part of Samsung Health Monitor’s useful health-tool set rather than as a deeply tested medical feature.

Pros: battery life, display quality

Cons: value for money, antioxidant index

#8 Samsung Galaxy Watch 8
4.4

ECG functionality was viewed as dependable and easy to use, with reviewers noting accessible readings and clear reports.

Pros: comfort, voice assistant quality

Cons: battery life, antioxidant index

#9 Apple Watch Series 10
4.3

ECG was treated as a mature health function that continued to work seamlessly rather than a major new upgrade.

Pros: charging speed, display quality

Cons: battery life, water resistance

#10 Huawei Watch GT 6 Pro
4.2

ECG was viewed as useful and easy enough to access, though some evidence focused on availability and reporting rather than medical certainty.

Pros: battery life, GPS accuracy

Cons: contactless payments, app ecosystem

#11 Huawei Watch Fit 4 Pro
4.2

ECG support helped justify the Pro tier and often worked well, though one reviewer wanted more educational context around the readings.

Pros: battery life, value for money

Cons: contactless payments, sleep tracking accuracy

#12 Withings ScanWatch Nova
4.1

ECG functionality was usually praised as easy, useful, or medically meaningful, though one reviewer noted setup delays and another found it movement-sensitive.

Pros: battery life, style and design

Cons: value for money, charging convenience

#13 Samsung Galaxy Watch Ultra 2
4.0

ECG readings generally worked as expected and one comparison produced results similar to a dedicated Kardia device. It remains a wellness feature rather than a substitute for clinical diagnostic equipment.

Pros: battery life, comfort

Cons: value for money, charging speed

#14 Coros Apex 4
4.0

The ECG-based Wellness Check is praised as a useful manual HRV reading option rather than a full medical ECG feature.

Pros: GPS accuracy, battery life

Cons: display quality, brightness

#15 Google Pixel Watch 5
4.0

ECG remains one of the more immediately useful health tools, especially compared with newer trend-based metrics that need longer baselines.

Pros: software smoothness, style and design

Cons: value for money, wellness insights

#16 Polar Grit X2 Pro
4.0

ECG was viewed as useful for intentional HRV readings rather than full medical-grade detection.

Pros: GPS accuracy, mapping and navigation

Cons: value for money, companion app quality

#17 Samsung Galaxy Watch FE
4.0

The ECG app was treated as a meaningful differentiator against similarly priced competitors, though the reviews did not deeply test ECG accuracy.

Pros: smartwatch features, health tracking accuracy

Cons: value for money, software smoothness

#18 Garmin Forerunner 970
4.0

ECG was generally seen as a meaningful premium health addition, though reviewers stressed it is manual, sometimes a hassle to enable, and not continuous monitoring.

Pros: heart rate accuracy, GPS accuracy

Cons: battery life, value for money

#19 Fitbit Sense 2
3.8

ECG is viewed as useful for spotting irregular rhythm or saving readings, but reviewers also note manual use and non-medical limitations.

Pros: battery life, stress tracking

Cons: value for money, GPS accuracy

#20 Samsung Galaxy Watch 7
3.5

ECG functionality is considered reliable where available, but reviewers noted it is tied to Samsung-phone requirements.

Pros: value for money, wellness insights

Cons: battery life, cross-platform compatibility

#21 Garmin Venu 3
3.0

ECG evidence is mixed by review timing: some reviews found it unavailable or finicky, while later evidence notes FDA-approved on-device ECG readings.

Pros: battery life, GPS accuracy

Cons: smartwatch features, smartphone notifications

#22 Polar Vantage M3
3.0

ECG is useful as a sensor feature, but reviewers note it lacks diagnostic Afib support.

Pros: value for money, GPS accuracy

Cons: heart rate accuracy, companion app quality

#23 Samsung Galaxy Watch Ultra (2024)
3.0

ECG evidence was limited and lukewarm, with one reviewer finding it interesting but not personally necessary.

Pros: battery life, sleep tracking accuracy

Cons: wellness insights, style and design

#24 Samsung Galaxy Watch 6
2.9

ECG functionality was seen as potentially valuable but limited by Samsung-phone restrictions, confusing result presentation, and low personal usefulness for some reviewers.

Pros: software smoothness, comfort

Cons: battery life, GPS accuracy

#25 OnePlus Watch 3
2.6

ECG was a major regional caveat: reviewers liked or valued the feature where available, but repeatedly criticized its absence in the US or North America.

Pros: battery life, button controls

Cons: size options, ECG functionality

#26 Amazfit Active 2
2.5

Reviewers noted the lack of ECG as an expected limitation for this price rather than a surprising omission.

Pros: value for money, battery life

Cons: band quality, button controls

#27 Amazfit Cheetah 2 Pro
2.3

ECG functionality was a weakness because reviewers noted the feature is absent and that Garmin offers superior ECG-related capability.

Pros: GPS accuracy, battery life

Cons: band quality, smartwatch features

#28 Coros Pace Pro
2.2

ECG was treated as limited because reviewers emphasized that it is not medically certified and should not be used as a medical device.

Pros: battery life, GPS accuracy

Cons: heart rate accuracy, smartwatch features

#29 Apple Watch SE 3
2.1

ECG was the most repeated missing health feature, often framed as the main reason some higher-risk buyers might step up to the Series line.

Pros: display quality, value for money

Cons: ECG functionality, battery life

#30 Garmin Instinct 3
2.1

ECG functionality is a clear omission because reviewers criticize Garmin for using the older sensor platform without ECG support.

Pros: battery life, display quality

Cons: mapping and navigation, smartwatch features

#31 Garmin Vivoactive 5
2.0

ECG scored low because reviewers noted the watch lacks ECG eligibility or requires accepting the missing feature.

Pros: value for money, GPS accuracy

Cons: sleep tracking accuracy, recovery insights

#32 Amazfit Balance 3
2.0

ECG remains absent because the watch retains the older BioTracker sensor generation. One reviewer considered this an overdue omission for the Balance line.

Pros: battery life, brightness

Cons: fit, third-party app support

#33 Amazfit Cheetah 2 Ultra
2.0

ECG is a clear missing health feature; one reviewer called its absence one of the few serious criticisms.

Pros: battery life, value for money

Cons: reliability

#34 Garmin Epix Pro (Gen 2)
2.0

ECG functionality was treated as a drawback in the review evidence because the feature was built in but not available at the time of testing.

Pros: battery life, GPS accuracy

Cons: user interface, fit

#35 Garmin Forerunner 170
2.0

ECG is not available on the Forerunner 170, and reviewers note that buyers must move to a pricier Garmin to get it.

Pros: value for money, battery life

Cons: mapping and navigation, materials quality

#36 Garmin Lily 2 Active
2.0

ECG is a clear limitation: a reviewer explicitly wished Garmin had included the hardware for ECG-related features.

Pros: battery life, GPS accuracy

Cons: onboard music storage, mapping and navigation

#37 Samsung Galaxy Watch 9
2.0

ECG is useful as part of Samsung's broad health suite, but its Galaxy-phone requirement sharply limits access for users of other Android brands.

Pros: software smoothness, wellness insights

Cons: battery life, charging speed

#38 Xiaomi Redmi Watch 5
2.0

ECG functionality is missing, and one reviewer treated the absent advanced sensors as nice-to-have but not expected at the price.

Pros: battery life, display quality

Cons: smartphone notifications, sleep tracking accuracy

#39 Garmin Vivoactive 6
1.9

ECG is a clear limitation because reviewers repeatedly note that the Vivoactive 6 lacks ECG support compared with higher-end Garmin models.

Pros: battery life, comfort

Cons: heart rate accuracy, sleep tracking accuracy

#40 Suunto Vertical
1.8

ECG was criticized by omission in a smartwatch-feature comparison because reviewers noted the Vertical lacks ECG functionality.

Pros: battery life, GPS accuracy

Cons: heart rate accuracy, value for money

#41 Garmin Venu X1
1.8

ECG was a repeated omission: multiple reviewers called its absence strange, frustrating, or a major gap at this price.

Pros: display quality, comfort

Cons: battery life, value for money

#42 Garmin Forerunner 570
1.6

ECG functionality was one of the most criticized omissions because the Gen 5 sensor made reviewers expect ECG at this price.

Pros: heart rate accuracy, GPS accuracy

Cons: value for money, mapping and navigation

#43 OnePlus Watch 2R
1.5

Reviewers repeatedly marked the lack of ECG as a notable omission, especially versus similarly priced or competing smartwatches.

Pros: battery life, value for money

Cons: companion app quality, charging convenience

#44 Amazfit T-Rex 3 Pro
1.5

ECG functionality is a weakness because reviewers explicitly flagged ECG as missing or something that might put buyers off.

Pros: battery life, value for money

Cons: mapping and navigation, user interface

#45 Garmin Lily 2
1.5

The absence of ECG is criticized as a gap, especially given the product’s price and female-focused positioning.

Pros: battery life, style and design

Cons: sleep tracking accuracy, workout tracking variety

#46 Garmin Venu Sq 2
1.5

Reviewers treated ECG as a missing capability rather than a strength, noting the Venu Sq 2 did not officially include ECG functionality.

Pros: battery life, display quality

Cons: smartwatch features, style and design

#47 Polar Street X
1.5

ECG was also a limitation: reviewers framed the missing ECG sensor as understandable at the price but still a downside for users who prioritize health metrics.

Pros: value for money, flashlight usefulness

Cons: user interface

#48 Tag Heuer Connected Calibre E4
1.5

ECG functionality is scored low because reviewers described the lack of ECG as part of the watch's limited medical-style health feature set.

Pros: style and design, battery life

Cons: value for money, heart rate accuracy

#49 Xiaomi Watch 2 Pro
1.5

ECG support was scored poorly because reviewers explicitly noted that ECG functionality is absent despite related electrical sensors.

Pros: app ecosystem, battery life

Cons: size options, comfort

#50 CMF Watch Pro 2
1.5

ECG support was treated as an absent advanced health feature, understandable at the price but still a limitation for serious health tracking.

Pros: value for money, battery life

Cons: GPS accuracy, sleep tracking accuracy