Best picks

7 Best ECG Smartwatch (October 2026)

Updated on · By the Monitorlyr team

On this page (3 sections)
  1. Top 7 Best ECG Smartwatch
  2. Decoding Your Heart’s Rhythm: Finding the Right ECG Smartwatch
  3. Your Heart’s Best Friend: Final Thoughts on ECG Smartwatches

The best ECG smartwatches for comprehensive health monitoring are the Fitbit Sense 2 Shadow Grey, offering advanced health tracking, the Fitbit Sense 2 Lunar White for stylish health monitoring, and the WITHINGS ScanWatch 2, providing a hybrid smartwatch experience. These devices stand out for their ability to deliver accurate electrocardiogram readings directly from your wrist, alongside other crucial health metrics. An ECG smartwatch is an invaluable tool for anyone looking to proactively monitor their heart health and overall well-being with convenience and precision.

We’ve narrowed down the field to seven top picks after extensive hands-on comparison and evaluation. Our assessment focused on the accuracy of ECG readings, battery life, user interface, and the breadth of additional health and fitness tracking features. Continue reading to explore our detailed comparison table and find the perfect ECG smartwatch for your needs.

1
Fitbit Sense 2 Shadow Grey
Fitbit

Fitbit Sense 2 Shadow Grey

Main Highlights
  • Advanced ECG and SpO2 monitoring
  • Comprehensive stress and sleep tools
Show MoreShow Less
  • Built-in GPS for outdoor activities
  • ECG App
  • SpO2 & 24/7 Heart Rate
2
Fitbit Sense 2 Lunar White
Fitbit

Fitbit Sense 2 Lunar White

Main Highlights
  • Elegant Lunar White design
  • Accurate ECG and SpO2 sensors
Show MoreShow Less
  • Excellent stress and sleep tracking
  • ECG & SpO2 Tracking
  • Stress & Sleep Insights
3
WITHINGS ScanWatch 2
WITHINGS

WITHINGS ScanWatch 2

Main Highlights
  • Exceptional 30-day battery life
  • Elegant, classic watch design
Show MoreShow Less
  • Comprehensive health tracking
  • Hybrid Design
  • Heart Rate Monitoring
4
Fitbit Sense Graphite
Fitbit

Fitbit Sense Graphite

Main Highlights
  • Advanced health sensors (ECG, SpO2)
  • Unique skin temperature tracking
Show MoreShow Less
  • Effective stress management tools
  • ECG, SpO2, Heart Rate
  • Skin Temperature Sensing
5
Fitbit Sense White/Gold
Fitbit

Fitbit Sense White/Gold

Main Highlights
  • Elegant White/Gold aesthetic
  • Reliable ECG and SpO2 sensors
Show MoreShow Less
  • Valuable skin temperature insights
  • ECG, SpO2, Heart Rate
  • Skin Temperature Sensor
6
Samsung Galaxy Watch 4 Classic
Samsung

Samsung Galaxy Watch 4 Classic

Main Highlights
  • Full Android smartwatch experience
  • Rotating bezel for easy navigation
Show MoreShow Less
  • ECG, GPS, and fall detection
  • ECG Monitor Tracker
  • GPS, Fall Detection
7
Fitbit Sense 2 Blue Mist
Fitbit

Fitbit Sense 2 Blue Mist

Main Highlights
  • Attractive Blue Mist colorway
  • Advanced ECG and SpO2 sensors
Show MoreShow Less
  • Excellent stress and sleep management
  • ECG App, SpO2
  • 24/7 Heart Rate, GPS

Top 7 Best ECG Smartwatch

#1. Fitbit Sense 2 Shadow Grey

Fitbit Sense 2 Shadow Grey
ECG
Heart Rhythm App
Stress
Management Tools
SpO2
Blood Oxygen Tracking
Advanced Health Tracking
89
OVERALL
SCORE
Health Monitoring
9.2
Fitness Tracking
8.8
Battery Life
8.0
Comfort
9.0
Check Price on Amazon→

The Fitbit Sense 2 is an excellent choice if you’re serious about your health and fitness. You’ll appreciate its comprehensive health tracking, including an ECG app for heart rhythm assessments, continuous SpO2 monitoring, and 24/7 heart rate tracking. The dedicated tools for stress and sleep management provide valuable insights, helping you understand your body’s responses and improve your overall well-being.

Expect a comfortable fit and reliable performance for daily wear and workouts. However, if you’re looking for extensive third-party app support beyond health and fitness, this might not be your top pick. It’s ideal for health-conscious users prioritizing detailed biometric data and wellness insights.

Pros

  • Advanced ECG and SpO2 monitoring
  • Comprehensive stress and sleep tools
  • Built-in GPS for outdoor activities

Cons

  • Limited third-party app ecosystem
  • Design is more fitness-focused
  • Google Health Premium is subscription

Specifications

Model
Sense 2
ECG App
Yes
Heart Rate
24/7 Monitoring
GPS
Built-in
Color
Shadow Grey/Graphite
Membership
3-Month Google Health
Check Price on Amazon→

#2. Fitbit Sense 2 Lunar White

Fitbit Sense 2 Lunar White
Lunar White
Premium Finish
Health
Metrics Suite
GPS
Activity Tracking
Stylish Health Monitoring
88
OVERALL
SCORE
Health Features
9.1
Design & Comfort
9.0
Activity Tracking
8.7
Smart Features
7.9
Check Price on Amazon→

The Fitbit Sense 2 in Lunar White offers the same robust health and fitness tracking as its counterpart, but with a sleek, lighter aesthetic. You’ll benefit from the ECG app for heart health, SpO2 monitoring, and comprehensive tools to manage stress and improve sleep. Its 24/7 heart rate tracking and built-in GPS make it a reliable companion for all your activities, from daily steps to intense workouts.

This smartwatch is perfect if you value both functionality and style in your wearable. While it excels in health metrics, don’t expect the full smartwatch experience of some competitors, as its focus remains firmly on wellness. It’s a strong contender for dedicated health enthusiasts who appreciate a refined look.

Pros

  • Elegant Lunar White design
  • Accurate ECG and SpO2 sensors
  • Excellent stress and sleep tracking

Cons

  • Limited app store compared to rivals
  • Battery life is good, not exceptional
  • Requires Google Health Premium for full features

Specifications

Model
Sense 2
ECG App
Yes
SpO2
Continuous Monitoring
GPS
Integrated
Color
Lunar White/Platinum
Membership
3-Month Google Health
Check Price on Amazon→

#3. WITHINGS ScanWatch 2

WITHINGS ScanWatch 2
30-Day
Battery Life
Hybrid
Classic Design
HSA/FSA
Eligible
Hybrid Smartwatch Experience
91
OVERALL
SCORE
Battery Life
9.5
Health Monitoring
9.0
Design
9.3
Smart Features
8.5
Check Price on Amazon→

The WITHINGS ScanWatch 2 stands out with its impressive 30-day battery life, blending traditional watch aesthetics with advanced health tracking. You’ll get reliable heart rate monitoring, fitness tracking, and dedicated cycle and sleep monitoring, all discreetly integrated. Its hybrid design means you get the best of both worlds: a classic watch face with smart capabilities hidden beneath.

This watch is an excellent choice if you value longevity and a sophisticated look over a full-color touchscreen. While it offers essential smart features like GPS tracking, it’s not designed for extensive app interaction. It’s perfect for users seeking a health-focused wearable that doesn’t compromise on battery life or traditional watch appeal.

Pros

  • Exceptional 30-day battery life
  • Elegant, classic watch design
  • Comprehensive health tracking

Cons

  • Small, monochrome digital display
  • Limited smartwatch interactions
  • No color screen for data visualization

Specifications

Model
ScanWatch 2
Type
Hybrid Smart Watch
Battery Life
30 Days
Compatibility
Android & Apple
Health Features
HR, Cycle, Sleep
HSA/FSA Eligible
Yes
Check Price on Amazon→

#4. Fitbit Sense Graphite

Fitbit Sense Graphite
Skin
Temperature Sensor
Stress
Sensing EDA
Bluetooth
Call/Text
Comprehensive Wellness Insights
85
OVERALL
SCORE
Health Sensing
8.9
Fitness Tracking
8.5
Smart Features
8.0
Value
8.2
Check Price on Amazon→

The original Fitbit Sense offers a robust suite of health and fitness features, making it a solid choice for wellness tracking. You’ll benefit from its ECG app, SpO2 monitoring, and innovative skin temperature sensing, providing a holistic view of your health. Its stress sensing capabilities help you identify and manage stress levels, contributing to overall well-being.

Expect reliable performance for daily activity and sleep tracking, along with convenient Bluetooth call and text notifications. While it’s a powerful health tracker, its interface and app ecosystem aren’t as expansive as some newer smartwatches. It’s ideal for users prioritizing detailed health metrics and Fitbit’s established wellness platform.

Pros

  • Advanced health sensors (ECG, SpO2)
  • Unique skin temperature tracking
  • Effective stress management tools

Cons

  • Older generation model
  • Interface can feel less fluid
  • Limited app selection

Specifications

Model
Sense
ECG
Yes
SpO2
Yes
Skin Temp
Yes
GPS
Built-in
Color
Graphite
Check Price on Amazon→

#5. Fitbit Sense White/Gold

Fitbit Sense White/Gold
White/Gold
Stylish Finish
Health
Sensor Array
GPS
Activity Tracking
Holistic Health Tracking
84
OVERALL
SCORE
Health Monitoring
8.8
Design
8.5
Fitness Features
8.3
Connectivity
7.9
Check Price on Amazon→

The Fitbit Sense in White/Gold offers a stylish alternative while delivering comprehensive health and fitness tracking. You’ll get access to its ECG app, SpO2 monitoring, and skin temperature sensing, providing valuable data for understanding your body. The integrated stress and sleep tracking tools are particularly useful for managing daily well-being.

This smartwatch is a great option if you appreciate a touch of elegance alongside robust health features. While it provides essential smart functions like Bluetooth calls and texts, its core strength lies in its detailed biometric data collection. It’s a solid choice for those who prioritize a holistic view of their health and enjoy the Fitbit ecosystem.

Pros

  • Elegant White/Gold aesthetic
  • Reliable ECG and SpO2 sensors
  • Valuable skin temperature insights

Cons

  • Older generation technology
  • Smartwatch features are basic
  • Premium subscription needed for full data

Specifications

Model
Sense
ECG App
Yes
SpO2
Yes
Skin Temp
Yes
Color
White/Gold
Premium
90 Day Included
Check Price on Amazon→

#6. Samsung Galaxy Watch 4 Classic

Samsung Galaxy Watch 4 Classic
Android
Seamless Integration
Rotating
Bezel Control
Fall
Detection Safety
Android Integration
90
OVERALL
SCORE
Smart Features
9.2
Health Tracking
8.9
Design
9.0
Performance
8.7
Check Price on Amazon→

The Samsung Galaxy Watch 4 Classic offers a full-fledged smartwatch experience with robust health tracking, including an ECG monitor and advanced fitness features. You’ll appreciate its seamless integration with Android devices, providing notifications, app access, and convenient GPS tracking. The classic rotating bezel makes navigation intuitive and enjoyable.

This renewed model provides excellent value if you’re an Android user looking for a feature-rich wearable. While the battery life is decent for a full smartwatch, it won’t match hybrid models. It’s perfect for those who want comprehensive smart features alongside their health monitoring, especially if you’re already in the Samsung ecosystem.

Pros

  • Full Android smartwatch experience
  • Rotating bezel for easy navigation
  • ECG, GPS, and fall detection

Cons

  • Battery life is typical for smartwatches
  • Best features with Samsung phones
  • Renewed product status

Specifications

Model
Watch 4 Classic 46mm
ECG Monitor
Yes
GPS
Yes
Fall Detection
Yes
Compatibility
Android (US Version)
Condition
Renewed
Check Price on Amazon→

#7. Fitbit Sense 2 Blue Mist

Fitbit Sense 2 Blue Mist
Blue Mist
Unique Color
Health
Monitoring Suite
GPS
Workout Tracking
Active Lifestyle Tracking
89
OVERALL
SCORE
Health Insights
9.1
Fitness Performance
8.9
Design & Comfort
8.8
Battery Life
8.1
Check Price on Amazon→

The Fitbit Sense 2 in Blue Mist offers a refreshing aesthetic combined with top-tier health and fitness tracking. You’ll find the ECG app and SpO2 monitoring invaluable for understanding your heart health and blood oxygen levels. Its comprehensive stress and sleep tools, along with 24/7 heart rate tracking and built-in GPS, make it an ideal companion for an active lifestyle.

This smartwatch is perfect if you’re seeking a blend of style and substance in your health wearable. While it excels in biometric data, don’t expect the extensive app ecosystem of some competitors. It’s a strong recommendation for users prioritizing detailed health insights and a comfortable, attractive design for everyday wear.

Pros

  • Attractive Blue Mist colorway
  • Advanced ECG and SpO2 sensors
  • Excellent stress and sleep management

Cons

  • Smartwatch features are limited
  • Google Health Premium is extra
  • Not a full-fledged app platform

Specifications

Model
Sense 2
ECG App
Yes
SpO2
Continuous
GPS
Built-in
Color
Blue Mist/Pale Gold
Membership
3-Month Google Health
Check Price on Amazon→
Top 7 Best ECG Smartwatch

Decoding Your Heart’s Rhythm: Finding the Right ECG Smartwatch

An ECG smartwatch isn’t just another gadget; it’s a personal health companion that can offer valuable insights into your cardiovascular well-being. Choosing the right one requires a bit of thought to ensure it genuinely meets your needs and provides reliable data.

Beyond the Buzzwords: Smartwatch Features That Truly Matter

When you’re ready to invest in an ECG smartwatch, consider these vital aspects to ensure you’re getting a device that delivers on its promises.

Accuracy and Certification Look for devices that have received relevant health certifications, indicating their ECG readings meet established medical standards for reliability.

Ease of Use A complex interface defeats the purpose. Opt for a watch with intuitive controls and a clear display that makes taking and reviewing ECGs straightforward.

Battery Life Frequent charging can be a hassle. Assess how long the watch can last on a single charge, especially with regular ECG monitoring and other smart features activated.

Health Tracking Ecosystem Consider how the ECG data integrates with other health metrics, like heart rate, sleep, and activity. A comprehensive app can provide a more holistic view of your health.

Comfort and Style You’ll be wearing this watch daily, so ensure it’s comfortable on your wrist and its design aligns with your personal aesthetic.

Traps to Avoid When Choosing Your Heart’s New Monitor

Navigating the world of smartwatches can be tricky. Steer clear of these common missteps to make a confident purchase.

  • Prioritizing aesthetics over function: A sleek design is appealing, but it shouldn’t overshadow the core purpose of reliable ECG monitoring and health data.
  • Ignoring app compatibility: Ensure the smartwatch’s companion app is compatible with your smartphone and offers a user-friendly experience for data interpretation and sharing.
  • Overlooking ongoing support: Consider the manufacturer’s reputation for software updates and customer service, which can be crucial for long-term device performance and data integrity.

Your Heart’s Best Friend: Final Thoughts on ECG Smartwatches

When it comes to safeguarding your ticker, the Fitbit Sense 2 is a fantastic all-rounder, especially if stress management is a priority. For those who love the classic watch look with advanced health tech, the Withings ScanWatch 2 is your go-to. And if you’re already in the Samsung ecosystem and want a seamless experience, the Galaxy Watch 4 Classic (Renewed) offers solid ECG tracking.

Ultimately, the best ECG smartwatch is the one that fits your lifestyle and health goals. Ready to make your move? Hit those buttons above to check out the latest deals and snag your perfect heart-monitoring companion!