Record an electrocardiogram with the ECG app on Apple Watch (2024)

Apple Watch User Guide

AppleWatch Series4 and later has an electrical heart rate sensor that, along with the ECG app Record an electrocardiogram with the ECG app on Apple Watch (1), allows you to take an electrocardiogram (or ECG). To use the ECG app, update your iPhoneXs or later to the latest version of iOS and AppleWatch to the latest version of watchOS. The ECG app is not available on AppleWatch SE and not available in all regions.

  1. Open the Health app on your iPhone, then follow the onscreen steps to set up ECG.

    If you don’t see a prompt to set up, tap Browse at the bottom right, tap Heart, then tap Electrocardiogram (ECG).

  2. Open the ECG app on your AppleWatch.

  3. Rest your arm on a table or in your lap.

  4. With the hand opposite your watch, hold your finger on the Digital Crown, then wait while AppleWatch records the ECG.

    You don’t need to press the Digital Crown during the session.

Record an electrocardiogram with the ECG app on Apple Watch (2)

At the end of the recording, you receive a classification. You can then tap Add Symptoms and choose your symptoms. Tap Save to note any symptoms, then tap Done. To view your results on iPhone, open the Health app on iPhone, tap Browse at the bottom right, then tap Heart > Electrocardiograms (ECG).

Important: To ensure the best reading after swimming, showering, heavy perspiration, or washing your hands, clean and dry your AppleWatch. It may take one hour or more for your AppleWatch to completely dry. ECG is designed to function between 32º and 95º F (0° and 35° C).

For more information about the ECG app, see the Apple Support article Take an ECG with the ECG app on Apple Watch, and the document Electrocardiogram (ECG) App Instructions for Use (IFU).

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Record an electrocardiogram with the ECG app on Apple Watch (2024)

FAQs

Can you record ECG on an Apple Watch? ›

If you don't see a prompt to set up, tap Browse at the bottom right, tap Heart, then tap Electrocardiogram (ECG). Open the ECG app on your Apple Watch. Rest your arm on a table or in your lap. With the hand opposite your watch, hold your finger on the Digital Crown, then wait while Apple Watch records the ECG.

Is the ECG app on Apple Watch accurate? ›

In short, the Apple Watch ECG is very accurate. One study by a Stanford Asociate Professor of Medicine demonstrated that the Apple Watch could accurately detect AFib in 84% of cases when compared to a traditional 12-lead ECG.

What is the app that Analyses ECG on Apple Watch? ›

The ECG Insight App is your go-to tool for unlocking the secrets of your heart's rhythm using data from your Apple Watch. Built to provide accurate and reliable insights, this app is designed to enhance your understanding of your heart's health and empower you to make informed decisions about your well-being.

How to record ECG? ›

Electrodes (small, plastic patches that stick to the skin) are placed at certain spots on the chest, arms, and legs. The electrodes are connected to an ECG machine by lead wires. The electrical activity of the heart is then measured, interpreted, and printed out.

What smartwatch do cardiologists recommend? ›

Top 3 features of best smartwatches for heart patients for you
Best smartwatch for heart patientsDisplay
Apple Watch SE (2nd Gen) [GPS 40 mm]1.78 inches
Fastrack Reflex Play Smart Watch1.3 inch AMOLED
Apple Watch Series 91.7 inches
beatXP Vega1.43 inch Round AMOLED
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Jan 4, 2024

Why is my Apple Watch not recording ECG? ›

Make sure that your Apple Watch isn't loose on your wrist. The band should be snug, and the back of your Apple Watch needs to be touching your wrist. Make sure that your wrist and your Apple Watch are clean and dry. Make sure that your Apple Watch is on the wrist that you selected in the Apple Watch app.

Can an Apple Watch detect heart palpitations? ›

On Apple Watch Series 1 or later, the IRNF analyzes pulse rate data collected by the photoplethysmograph (PPG) sensor to identify episodes of irregular heart rhythms suggestive of AFib, and it provides a notification to the user when it detects an episode.

Is there a charge for the ECG app on Apple Watch? ›

There is no extra cost for ECG. The hardware/software support is part of the Apple Watch Series 4.

Why do you have to be 22 to use ECG on Apple Watch? ›

The ECG app is not intended for use by people under 22 years old. The device has only been evaluated for the detection of AFib or normal sinus rhythm and is not intended to detect any other type of arrhythmia. It cannot detect heart attacks.

Is my heart OK if the ECG is normal? ›

You may have a perfectly normal ECG, yet still have a heart condition. If your test is normal but your doctor suspects that you have a heart problem, he may recommend that you have another ECG, or a different type of test to find out for sure.

Is the Apple Watch ECG FDA approved? ›

In a clinical study using a 12-lead ECG as a reference device, the ECG app demonstrated 99.3% specificity in classifying sinus rhythm and 98.5% sensitivity in classifying AFib for the classifiable results. The ECG app received 510(k) clearance from the FDA for users 22 years and older.

How to record ECG on Apple Watch? ›

Recording an ECG

Open the ECG app on your Apple Watch. Rest your arms on a table or in your lap, and hold your finger on the Digital Crown. You do not need to press the crown during the session. The recording takes 30 seconds.

Is there a way to interpret Apple Watch ECG? ›

The Apple Watch ECG app can provide four possible results – Sinus Rhythm (regular heart pattern), Atrial Fibrillation (irregular rhythm), Low Heart Rate or High Heart Rate (if your heart rate is below 50 BPM or above 120 BPM on ECG version 1, or above 150 BPM on ECG version 2), and Inconclusive (if the app can't ...

What does AFib look like on ECG? ›

This means an ECG showing atrial fibrillation will have no visible P waves and an irregularly irregular QRS complex. The ventricular rate is frequently fast, unless the patient is on AV nodal blocking drugs such as beta-blockers or non-dihydropyridine calcium channel blockers.

Can Apple Watch do ECG yet? ›

Anytime, anywhere. With the ECG app, Apple Watch is capable of generating an ECG similar to a single-lead electrocardiogram.

Can an Apple Watch detect an irregular heartbeat? ›

On Apple Watch Series 1 or later, the IRNF analyzes pulse rate data collected by the photoplethysmograph (PPG) sensor to identify episodes of irregular heart rhythms suggestive of AFib, and it provides a notification to the user when it detects an episode.

Can I use my Apple Watch to do an ECG on someone else? ›

If you mean can you put your Apple Watch on your Wife's wrist and take her ECG, then sure. It will be stored on your iPhone and you will need some way to keep track of which reading is yours and which is your Wife's, but nothing stops you from putting the Apple Watch on someone else's wrist for a 30 second ECG reading.

Are ECG and EKG the same? ›

EKG and ECG are actually different spellings of the same diagnostic test that monitors your heart's electrical activity. EKG is the abbreviation from the German spelling of electrocardiogram (which is elektrokardiogramm in German). The EKG abbreviation came into use because of where the test was initially invented.

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