Best Smart Watch for ECG functionality

ECG functionality Decision Dashboard

Best for ECG functionality

Apple Watch Series 11

4.8 feature score

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

Safest pick

Withings ScanWatch 2

4.6 feature score

Balances feature score, supporting reviews, and overall product strength.

Most evidence

Apple Watch SE 3

24 supporting reviews

Has the broadest review evidence for this feature.

Best overall product

Apple Watch Ultra 2

4.1 overall score

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

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#1 Apple Watch Series 11
4.8
1 review

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: ECG functionality, app ecosystem

Cons: cross-platform compatibility, recovery insights

#2 Withings ScanWatch 2
4.6
7 reviews

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

Pros: Bluetooth connectivity, pairing reliability

Cons: third-party app support, contactless payments

#3 Apple Watch Ultra 2
4.5
1 review

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

Pros: app ecosystem, smartwatch features

Cons: cross-platform compatibility, blood oxygen tracking

#4 Garmin Venu 4
4.5
1 review

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

Pros: activity auto-detection, style and design

Cons: LTE connectivity, charging convenience

#5 Google Pixel Watch 4
4.5
1 review

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

Pros: step counting accuracy, charging speed

Cons: stress tracking, band quality

#6 Samsung Galaxy Watch Ultra (2025)
4.5
1 review

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

Pros: LTE connectivity, pairing reliability

Cons: antioxidant index, blood oxygen tracking

#7 Samsung Galaxy Watch 8
4.4
3 reviews

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

Pros: third-party app support, heart rate accuracy

Cons: music controls, cross-platform compatibility

#8 Apple Watch Series 10
4.3
1 review

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

Pros: reliability, comfort

Cons: calorie tracking usefulness, mapping and navigation

#9 Huawei Watch GT 6 Pro
4.2
6 reviews

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

Pros: fitness tracking accuracy, display quality

Cons: voice assistant quality, LTE connectivity

#10 Huawei Watch Fit 4 Pro
4.2
5 reviews

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

Pros: software smoothness, durability

Cons: voice assistant quality, LTE connectivity

#11 Withings ScanWatch Nova
4.1
8 reviews

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, heart rate accuracy

Cons: third-party app support, GPS accuracy

#12 Coros Apex 4
4.0
1 review

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

Pros: reliability, battery life

Cons: LTE connectivity, flashlight usefulness

#13 Polar Grit X2 Pro
4.0
1 review

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

Pros: recovery insights, build quality

Cons: contactless payments, onboard music storage

#14 Samsung Galaxy Watch FE
4.0
1 review

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

Pros: materials quality, workout tracking variety

Cons: size options, cross-platform compatibility

#15 Garmin Forerunner 970
4.0
7 reviews

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: stress tracking, customization options

Cons: menu navigation, companion app quality

#16 Fitbit Sense 2
3.8
2 reviews

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

Pros: pairing reliability, durability

Cons: music controls, Wi-Fi connectivity

#17 Samsung Galaxy Watch 7
3.5
1 review

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

Pros: display quality, durability

Cons: cross-platform compatibility, antioxidant index

#18 Garmin Venu 3
3.0
3 reviews

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: health tracking accuracy, software smoothness

Cons: LTE connectivity, mapping and navigation

#19 Polar Vantage M3
3.0
1 review

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

Pros: brightness, display quality

Cons: call handling, voice assistant quality

#20 Samsung Galaxy Watch Ultra (2024)
3.0
1 review

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

Pros: build quality, software smoothness

Cons: stress tracking, blood oxygen tracking

#21 Samsung Galaxy Watch 6
2.9
4 reviews

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

Pros: voice assistant quality, music controls

Cons: blood oxygen tracking, cross-platform compatibility

#22 OnePlus Watch 3
2.6
8 reviews

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: blood oxygen tracking, step counting accuracy

Cons: LTE connectivity, calorie tracking usefulness

#23 Amazfit Active 2
2.5
1 review

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

Pros: pairing reliability, value for money

Cons: stress tracking, onboard music storage

#24 Coros Pace Pro
2.2
3 reviews

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

Pros: outdoor visibility, display quality

Cons: contactless payments, flashlight usefulness

#25 Apple Watch SE 3
2.1
24 reviews

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: app ecosystem, operating system experience

Cons: cross-platform compatibility, ECG functionality

#26 Garmin Instinct 3
2.1
3 reviews

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

Pros: customization options, charging speed

Cons: onboard music storage, voice assistant quality

#27 Garmin Vivoactive 5
2.0
2 reviews

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

Pros: fitness tracking accuracy, wellness insights

Cons: software smoothness, ECG functionality

#28 Garmin Epix Pro (Gen 2)
2.0
1 review

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: GPS accuracy, charging speed

Cons: ECG functionality, voice assistant quality

#29 Garmin Lily 2 Active
2.0
1 review

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

Pros: health tracking accuracy, blood oxygen tracking

Cons: ECG functionality, onboard music storage

#30 Xiaomi Redmi Watch 5
2.0
1 review

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

Pros: step counting accuracy, display quality

Cons: voice assistant quality, contactless payments

#31 Garmin Vivoactive 6
1.9
3 reviews

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

Pros: software smoothness, comfort

Cons: LTE connectivity, voice assistant quality

#32 Suunto Vertical
1.8
1 review

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

Pros: battery life, durability

Cons: resume later function, ECG functionality

#33 Garmin Venu X1
1.8
6 reviews

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

Pros: pairing reliability, watch face quality

Cons: ECG functionality, LTE connectivity

#34 Garmin Forerunner 570
1.6
9 reviews

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

Pros: charging speed, GPS accuracy

Cons: ECG functionality, smartphone notifications

#35 OnePlus Watch 2R
1.5
3 reviews

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

Pros: software smoothness, charging speed

Cons: ECG functionality, safety features

#36 Amazfit T-Rex 3 Pro
1.5
2 reviews

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

Pros: workout tracking variety, calorie tracking usefulness

Cons: LTE connectivity, ECG functionality

#37 Garmin Lily 2
1.5
2 reviews

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

Pros: pairing reliability, wellness insights

Cons: ECG functionality, body temperature tracking

#38 Garmin Venu Sq 2
1.5
2 reviews

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

Pros: charging speed, coaching features

Cons: ECG functionality, call handling

#39 Polar Street X
1.5
2 reviews

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: workout tracking variety, flashlight usefulness

Cons: blood oxygen tracking, ECG functionality

#40 Tag Heuer Connected Calibre E4
1.5
2 reviews

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: contactless payments, pairing reliability

Cons: LTE connectivity, call handling

#41 Xiaomi Watch 2 Pro
1.5
2 reviews

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

Pros: pairing reliability, outdoor visibility

Cons: ECG functionality, running power support

#42 CMF Watch Pro 2
1.5
1 review

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

Pros: pairing reliability, materials quality

Cons: data privacy, health tracking accuracy

#43 Fitbit Versa 4
1.5
1 review

ECG was a limitation because reviewers noted the Versa 4 lacks the Sense 2's ECG heart-health hardware.

Pros: pairing reliability, user interface

Cons: third-party app support, music controls

#44 Polar Pacer Pro
1.5
1 review

ECG functionality was treated as a missing health feature compared with competing smartwatches.

Pros: workout tracking variety, activity auto-detection

Cons: onboard music storage, blood oxygen tracking

#45 Ticwatch Atlas
1.5
1 review

ECG support is a weakness because one reviewer specifically notes that the Atlas lacks an ECG sensor found on rival Wear OS watches.

Pros: touchscreen responsiveness, software smoothness

Cons: ECG functionality, LTE connectivity

#46 Ticwatch Pro 5 Enduro
1.5
1 review

ECG functionality was a weakness because reviewers noted the sensor is missing compared with some modern smartwatch rivals.

Pros: menu navigation, battery life

Cons: ECG functionality, voice assistant quality

#47 Xiaomi Watch 2
1.5
1 review

ECG functionality was treated as a missing advanced feature, softened only by the watch’s lower price.

Pros: charging speed, Bluetooth connectivity

Cons: ECG functionality, recovery insights

#48 Garmin Forerunner 965
1.1
5 reviews

ECG was a recurring missing feature and was called disappointing or expected by several reviewers.

Pros: water resistance, workout tracking variety

Cons: LTE connectivity, ECG functionality

#49 Garmin fēnix 7X Pro
1.0
3 reviews

ECG functionality was a clear weakness because reviewers repeatedly noted the hardware was not enabled and had no guaranteed future.

Pros: GPS accuracy, app ecosystem

Cons: ECG functionality, calorie tracking usefulness

#50 Amazfit Balance 2
1.0
2 reviews

ECG functionality was a clear missing feature in reviews that compared the Balance 2 with higher-end watches or listed absent health tools.

Pros: Bluetooth connectivity, calorie tracking usefulness

Cons: ECG functionality, flashlight usefulness