Best Smart Watch for ECG functionality

ECG functionality Decision Dashboard

Best for ECG functionality

Apple Watch Ultra 2

4.7 feature score

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

Safest pick

Garmin Venu 4

4.5 feature score

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

Most evidence

Apple Watch SE 3

13 supporting reviews

Has the broadest review evidence for this feature.

Best overall product

Samsung Galaxy Watch 6

4.3 overall score

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

#1 Apple Watch Ultra 2
4.7
4 reviews

ECG functionality is well supported and repeatedly mentioned as part of the Ultra 2’s robust health suite, including Afib-related features.

Pros: display quality, heart rate accuracy

Cons: cross-platform compatibility, recovery insights

#2 Apple Watch Series 11
4.5
7 reviews

ECG functionality is repeatedly mentioned as present and valuable as part of the watch's health feature set.

Pros: contactless payments, pairing reliability

Cons: cross-platform compatibility, recovery insights

#3 Garmin Venu 4
4.5
12 reviews

ECG is treated as a meaningful advantage for the Venu 4, especially because several comparisons note it is included where some Garmin alternatives lack it.

Pros: outdoor visibility, brightness

Cons: LTE connectivity, charging convenience

#4 Garmin fenix 8 Pro
4.5
3 reviews

ECG support was clearly present, with reviewers mentioning ECG readings, rhythm checks, and AFib detection.

Pros: pairing reliability, workout tracking variety

Cons: size options, value for money

#5 Withings ScanWatch 2
4.4
12 reviews

ECG functionality was one of the strongest health features, repeatedly described as medical-grade, easy to use, FDA-approved, or shareable with doctors.

Pros: durability, pairing reliability

Cons: third-party app support, contactless payments

#6 Withings ScanWatch Nova
4.4
10 reviews

ECG functionality is one of the strongest health features, with repeated praise for on-demand readings, medical framing, and AFib-related capabilities.

Pros: software smoothness, safety features

Cons: contactless payments, music controls

#7 Apple Watch Series 10
4.4
2 reviews

ECG remains part of the health feature set, with reviews listing it among continuing Apple Watch health tools.

Pros: charging speed, contactless payments

Cons: cross-platform compatibility, blood oxygen tracking

#8 Google Pixel Watch 3
4.4
1 review

ECG is present as part of the health suite, but reviewers tended to mention it alongside other sensors rather than testing it deeply.

Pros: outdoor visibility, health tracking accuracy

Cons: cross-platform compatibility, durability

#9 Huawei Watch GT 6 Pro
4.4
6 reviews

ECG functionality is useful and Pro-specific, though availability and certified arrhythmia features may vary by region.

Pros: water resistance, brightness

Cons: LTE connectivity, Wi-Fi connectivity

#10 Garmin Forerunner 970
4.2
12 reviews

ECG functionality was widely confirmed as a major health upgrade, usually described as manual or snapshot-based rather than passive continuous monitoring.

Pros: button controls, GPS accuracy

Cons: LTE connectivity, size options

#11 Fitbit Sense 2
4.2
4 reviews

ECG is treated as a valuable advanced health feature for atrial-fibrillation checks, though not a daily-use feature for everyone.

Pros: pairing reliability, cross-platform compatibility

Cons: third-party app support, music controls

#12 Apple Watch Ultra 3
4.2
4 reviews

ECG support is repeatedly listed as part of Apple’s advanced health feature set, though not deeply performance-tested in these reviews.

Pros: pairing reliability, app ecosystem

Cons: cross-platform compatibility, size options

#13 Google Pixel Watch 4
4.2
3 reviews

ECG is consistently present in the health feature suite, with reviewers mentioning ECG/AFib assessment as part of the Pixel Watch 4’s capabilities.

Pros: outdoor visibility, charging speed

Cons: stress tracking, band quality

#14 Samsung Galaxy Watch 7
4.2
2 reviews

ECG support was available and considered useful or reliable, but access often depends on Samsung's Health Monitor setup and phone ecosystem.

Pros: user interface, build quality

Cons: antioxidant index, cross-platform compatibility

#15 Samsung Galaxy Watch 8
4.2
3 reviews

ECG functionality is present and one reviewer calls ECG readings dependable, with others listing ECG among the retained health features.

Pros: third-party app support, heart rate accuracy

Cons: cross-platform compatibility, antioxidant index

#16 Samsung Galaxy Watch FE
4.1
6 reviews

ECG is repeatedly cited as a valuable health feature, though several reviews note it may require a Samsung phone.

Pros: workout tracking variety, materials quality

Cons: size options, cross-platform compatibility

#17 Garmin Tactix 8
4.1
3 reviews

ECG was mentioned as part of the watch's premium health hardware or smart features.

Pros: materials quality, durability

Cons: LTE connectivity, value for money

#18 Samsung Galaxy Watch Ultra (2025)
4.1
3 reviews

ECG functionality is widely listed as part of the health feature set, though one review notes Samsung-phone pairing requirements for ECG and blood pressure.

Pros: brightness, durability

Cons: cross-platform compatibility, value for money

#19 Huawei Watch Fit 4 Pro
4.1
3 reviews

ECG support is a Pro-model advantage, though reviewers note context and availability can vary by region or implementation.

Pros: workout tracking variety, software smoothness

Cons: LTE connectivity, Wi-Fi connectivity

#20 Garmin Fenix 8
3.9
4 reviews

ECG support was confirmed through the Elevate sensor, with availability depending on region or approval status.

Pros: workout tracking variety, durability

Cons: LTE connectivity, value for money

#21 Garmin Enduro 3
3.8
3 reviews

ECG support is repeatedly noted through the Gen 5 sensor, but availability is region-dependent and not treated as the watch's main draw.

Pros: reliability, workout tracking variety

Cons: LTE connectivity, voice assistant quality

#22 Samsung Galaxy Watch 6
3.7
8 reviews

ECG is a valuable health feature, but reviewers repeatedly note that ECG and related rhythm alerts are restricted to Samsung phone users.

Pros: outdoor visibility, workout tracking variety

Cons: cross-platform compatibility, battery life

#23 Garmin Venu 3
3.6
5 reviews

ECG support was a mixed point across reviews because availability changed by region and timing; where available, it added useful heart-rhythm checks.

Pros: heart rate accuracy, display quality

Cons: LTE connectivity, third-party app support

#24 Polar Vantage M3
3.5
4 reviews

ECG is present, but reviewers repeatedly note limitations such as no Afib detection or lack of FDA-style diagnostic support.

Pros: workout tracking variety, outdoor visibility

Cons: call handling, voice assistant quality

#25 Coros Apex 4
3.4
3 reviews

ECG-based wellness checks are available, but reviewers note it is not a medical-grade ECG and is mainly for HRV/metrics.

Pros: battery life, software smoothness

Cons: contactless payments, LTE connectivity

#26 Garmin Epix Pro (Gen 2)
3.4
2 reviews

ECG evidence is mixed by review timing: one source notes a firmware update enabled ECG, while another earlier review says it was not yet available.

Pros: mapping and navigation, GPS accuracy

Cons: voice assistant quality, call handling

#27 Coros Apex 2
3.3
6 reviews

The watch includes ECG-related hardware mainly used for HRV-style readings, but evidence frames it more as wellness data than full medical ECG functionality.

Pros: durability, pairing reliability

Cons: contactless payments, call handling

#28 Polar Grit X2 Pro
3.3
7 reviews

ECG functionality exists, but reviewers consistently frame it as non-medical and not an atrial-fibrillation detection tool.

Pros: durability, water resistance

Cons: contactless payments, onboard music storage

#29 Samsung Galaxy Watch Ultra (2024)
3.0
5 reviews

ECG was valued as an advanced health feature, but multiple reviewers noted Samsung-phone or app restrictions.

Pros: outdoor visibility, display quality

Cons: size options, cross-platform compatibility

#30 OnePlus Watch 3
2.8
6 reviews

ECG support is a major caveat: hardware or global support exists, but US and North American availability is repeatedly criticized.

Pros: step counting accuracy, button controls

Cons: LTE connectivity, cross-platform compatibility

#31 Coros Pace Pro
2.8
3 reviews

ECG-style wellness readings are included, but reviewers repeatedly stress that the feature is not medically certified and does not detect AFib.

Pros: brightness, outdoor visibility

Cons: contactless payments, music controls

#32 Coros Pace 4
2.4
2 reviews

ECG evidence is conflicting: one review listed an electrocardiogram sensor, while another explicitly said the Pace 4 lacks the sensors required for ECG readings.

Pros: cross-platform compatibility, fit

Cons: call handling, voice assistant quality

#33 Garmin fēnix 7X Pro
2.1
3 reviews

ECG evidence was mixed by timing: some review content described ECG capability, while others said it was not enabled or certified at launch.

Pros: customization options, workout tracking variety

Cons: calorie tracking usefulness, ECG functionality

#34 Huawei Watch Fit 4
1.8
3 reviews

ECG functionality is a clear omission from the regular Fit 4, appearing as a Pro-model advantage rather than a base-model feature.

Pros: step counting accuracy, onboard music storage

Cons: ECG functionality, Wi-Fi connectivity

#35 Garmin Forerunner 955
1.5
2 reviews

ECG functionality is weak or absent in the review evidence; reviewers explicitly note no ECG, with only speculative or future-support language elsewhere.

Pros: charging speed, workout tracking variety

Cons: voice assistant quality, LTE connectivity

#36 Garmin Venu X1
1.3
9 reviews

ECG is the most mixed-but-mostly-negative attribute: most reviewers say it is missing, while one transcript says ECG is included.

Pros: pairing reliability, watch face quality

Cons: LTE connectivity, ECG functionality

#37 Garmin Venu Sq 2
1.3
3 reviews

ECG functionality is absent; reviewers repeatedly state the Venu Sq 2 has no ECG feature and that Garmin ECG support was limited elsewhere.

Pros: charging speed, battery life

Cons: LTE connectivity, ECG functionality

#38 Garmin MARQ Gen 2
1.2
1 review

ECG is effectively absent from this MARQ evidence, with reviewers pointing to Venu 2 Plus as Garmin’s ECG-capable design instead.

Pros: charging speed, build quality

Cons: LTE connectivity, ECG functionality

#39 Fitbit Versa 4
1.1
5 reviews

ECG functionality is absent on the Versa 4, a repeated contrast with Sense models and some cheaper Fitbit alternatives.

Pros: pairing reliability, brightness

Cons: third-party app support, music controls

#40 Garmin Instinct 3
1.1
6 reviews

ECG functionality was consistently absent because the watch uses the older Garmin sensor platform rather than the Gen 5 feature set.

Pros: water resistance, charging speed

Cons: LTE connectivity, Wi-Fi connectivity

#41 Garmin Forerunner 570
1.0
9 reviews

ECG functionality is the clearest omission: many reviewers criticize the lack of ECG despite the newer heart-rate sensor and the price.

Pros: outdoor visibility, brightness

Cons: ECG functionality, LTE connectivity

#42 Apple Watch SE 3
1.0
13 reviews

ECG functionality is absent, and reviewers repeatedly call this one of the main health-feature tradeoffs.

Pros: value for money, contactless payments

Cons: blood oxygen tracking, ECG functionality

#43 Garmin Forerunner 965
1.0
9 reviews

The Forerunner 965 lacks ECG hardware, a repeated limitation compared with Garmin’s Venu line and newer or more smartwatch-oriented alternatives.

Pros: mapping and navigation, watch face quality

Cons: ECG functionality, LTE connectivity

#44 Garmin Vivoactive 6
1.0
8 reviews

ECG is consistently absent because the watch uses Garmin’s older Elevate sensor generation.

Pros: comfort, software smoothness

Cons: ECG functionality, LTE connectivity

#45 Garmin Forerunner 165
1.0
5 reviews

ECG functionality was consistently absent; reviewers repeatedly stated users need a different or higher-end Garmin for ECG/EKG.

Pros: brightness, outdoor visibility

Cons: ECG functionality, voice assistant quality

#46 Amazfit T-Rex 3 Pro
1.0
4 reviews

ECG functionality is consistently absent; reviewers repeatedly note that the T-Rex 3 Pro does not include ECG support.

Pros: calorie tracking usefulness, cross-platform compatibility

Cons: ECG functionality, LTE connectivity

#47 OnePlus Watch 2R
1.0
4 reviews

ECG is a clear missing feature, with multiple reviewers explicitly stating the Watch 2R cannot take ECG readings.

Pros: third-party app support, workout tracking variety

Cons: ECG functionality, LTE connectivity

#48 Garmin Forerunner 265
1.0
3 reviews

ECG functionality is absent; reviewers explicitly state that the Forerunner 265 lacks the required hardware or ECG app support.

Pros: GPS accuracy, brightness

Cons: ECG functionality, voice assistant quality

#49 Tag Heuer Connected Calibre E4
1.0
3 reviews

ECG functionality is absent, with reviewers explicitly noting no ECG or medical-style electrocardiogram feature.

Pros: materials quality, style and design

Cons: blood oxygen tracking, ECG functionality

#50 Withings ScanWatch Light
1.0
3 reviews

ECG and Afib-related features are missing on the Light, pushing heart-health-focused buyers toward other ScanWatch models.

Pros: style and design, build quality

Cons: blood oxygen tracking, ECG functionality