ECG support is clearly present and described as able to detect cardiac-arrhythmia issues according to Garmin, though the reviews mostly note availability rather than deep validation.
ECG support is a real upgrade here, and reviews say it works well, with one tester noting readings that matched similar ECG checks on an Apple Watch Series 10.
The watch adds manual ECG support and reviewers consistently present it as a meaningful upgrade, though one notes it is still a manual snapshot tool rather than continuous monitoring.
ECG is a meaningful Pro-only health feature. Reviews say it can flag AFib-related issues and generate useful reports, though taking readings can be a bit fiddly.