Selma Mansell

Here's how to use the ECG on Apple Watch.

The ECG app is available on the Apple Watch Series 4, Series 5, and Series 6 in select countries. The tool is not available on the Apple Watch SE or older models. The irregular rhythm notification feature, which is also limited to select countries, is available for users of the Apple Series 1 and beyond.

The ECG app on the Apple Watch is intended to take an electrocardiogram right from your wrist. In doing so, it can capture heart rhythm and detect problems such as rapid or skipped heartbeats. The app uses electrodes built into the back of the wearable device and Digital Crown. With this, you can take an ECG similar to a single-lead reading.

According to The National Institutes of Health, "single-lead reading devices give only limited information as compared to conventional 12‐lead ECGs. Hence, concerns about their accuracy and reliability need to be examined."

As Apple explains, "The ECG app does not detect a heart attack, blood clots, a stroke or other heart-related conditions including high blood pressure, congestive heart failure, high cholesterol or other forms of arrhythmia."

The ECG app is located on the Apple Watch, where other installed apps are located. To set it up, you'll need to open the Health app on your iPhone first.

You'll be asked to take an ECG reading for the first time. Tap Skip if you'd like to do this step later. Otherwise, switch over to your Apple Watch to continue.

Your Apple Watch is now set up for ECG measurements.

You can take an ECG reading on your Apple Watch at any time.

When measuring is complete, you'll see the reading on your Apple Watch face. Available choices are AFib (or an irregular heartbeat), Sinus Rhythm (or normal heartbeat), or Inconclusive. All recordings, associated classifications, and any noted symptoms are stored securely in the iPhone's Health app.

You can rerun steps above at any time to measure again.

The first time you launch the Health app on your iPhone, you'll be asked to set up the irregular rhythm notification.

The irregular rhythm notification is now on. The optical heart sensor on the Apple Watch Series 1 or later will occasionally check your heart rhythm in the background. In doing so, it checks for signs of an irregular rhythm that could indicate AFib.

If the watch detects an irregular rhythm over five checks over a minimum of 65 minutes, you'll receive an alert on your watch. It would be best if you considered sharing this information with your doctor since it could be a sign of something serious.

When you want to see your readings on a graph or share the information with your doctor, you can find the data in the Health app on your iPhone.

If your Apple Watch captures an irregular rhythm, you'll receive a notification on your Apple Watch and iPhone. You can view a list of these notifications in the Health app on your iPhone.

Note: You'll still see a message if you've never had an irregular rhythm notification.

You can share individual ECG measures with your doctor by creating a PDF document through the Health app.

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