These 4 Garmin watches just got an important health upgrade — what you need to know

Woman wearing Garmin Venu 3
(Image credit: Tom's Guide)

Now that's the FDA has officially cleared the feature, Garmin has unlocked the ability to take electrocardiogram (ECG) readings on a range of current smartwatch models. The update is specific to US owners and includes the Garmin Epix Pro series, Fenix 7 Pro series, Venu 3 and 3S, as well as the Tactix 7 AMOLED.

All of these models utilize Garmin’s ELEVATE 5 optical heart rate sensor to administer the reading, which takes about 30 seconds. Once complete, the info is then fed into the watch’s built-in ECG application for analysis, before results appear on the watch face.  

How to access the Garmin ECG feature

Garmin | Venu 2 Plus | Using the ECG App - YouTube Garmin | Venu 2 Plus | Using the ECG App - YouTube
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Garmin first introduced ECG functionality on the Venu 2 Plus back in January, which provides readings using slightly different hardware than its siblings. Of course, Garmin is far from the only company to offer the feature. Apple Watch users have been able to take an ECG reading going back to the Apple Watch 4. The Fitbit Sense and Sense 2 also have ECG support, as do many Samsung Galaxy Watches

To unlock ECG access, you’ll simply need to download the latest version of the Garmin Connect app (version 4.72 or later) to your smart device, pair and select your compatible smartwatch and navigate to “Set up ECG app.” The setup takes a few minutes and mostly consists of warnings about the limitations of the readings.  

What can an ECG tell me?

Garmin Venu 2 Plus back

(Image credit: Future)

Most notably, ECG readings cannot be used to detect medical events like a heart attack, stroke or blood clots. However, the readings can be used to alert users of an irregular heart rhythm known as atrial fibrillation or AFIB. This occurs when the upper and lower chambers of the heart are beating out of sync. The condition can be temporary or permanent. The latter can be deadly if it goes untreated. 

The ELEVATE 5 sensor works by recording the electric signals associated with one’s heartbeat. These results are then analyzed by the app for any abnormalities. If anything suspect is spotted, users will receive a warning with more information. As well as AFIB, the feature can also keep an eye out for unusually high or low heart rates. 

In addition to on-the-spot ECG readings, users can also sync and save their ECG data to the Connect app. Doing so lets you create a report that can easily be shown to healthcare professionals. 

Garmin ECG availability 

Ultimately, we’re big fans of brands adding functionality to devices via firmware at no cost to users. This is especially true when added features are legitimately useful, as is the case here.

Unfortunately, for those outside the US, you’ll likely have to wait until Garmin’s latest ECG tech receives regulatory go-ahead from your respective government’s health services before it’s made available to you.

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Dan Bracaglia
Senior Writer, Fitness & Wearables

Dan Bracaglia is the Tom’s Guide editorial lead for all things smartwatches, fitness trackers and outdoor gear. With 15 years of experience as a consumer technology journalist testing everything from Apple Watches to instant cameras, Dan is deeply passionate about helping readers save money and make informed purchasing decisions. In 2024 so far, Dan’s tested dozens of wearables, including the latest devices from Apple, Google, Garmin, Fitbit and Samsung.

An avid outdoor adventurer, Dan is based in the U.S. Pacific Northwest where he takes advantage of the beautiful surroundings every chance he gets. A lover of kayaking, hiking, swimming, biking, snowboarding and more, he also makes every effort to combine his day job with his passions. When not assessing the GPS and heart rate accuracy of the latest Fitbit, you can find him photographing Seattle’s vibrant underground music community.