Key Questions to Ask When Ordering watch with ecg

06 May.,2024

 

Buying a Smartwatch? Ask Yourself These Questions First

If you're thinking about buying a new smartwatch, you should start by carefully considering why you want one in the first place. For example, are you looking for a watch that help you build better sleep habits or train for your next race? Or do you care only about meeting your step goal and seeing notifications on your wrist? Most people likely fall somewhere in between. 

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The good news is that you can narrow down your options with just three questions. Do you use an iPhone or an Android device? How much are you willing to spend? And how do you plan to use it?

You'll also want to consider comfort, size and style. A smartwatch isn't useful if you don't enjoy wearing it. Comfort is particularly critical if you're looking for a smartwatch to use as a sleep tracker.

It's also important to remember that you don't always need to buy a new smartwatch to gain additional functionality. Apple, Samsung and Google routinely release new features through software updates. We're expecting to hear more about what's next for the Apple Watch's WatchOS software and Google's Wear OS in the coming months at each company's respective developers conference. Google's I/O conference happens in May, while Apple's WWDC takes place in June. 

Watch this: Wearables Buying Guide: Everything You Need to Know

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Early smartwatches were clunky, expensive and limited in functionality, but there are plenty of worthwhile options on the market today. The best modern smartwatches expertly balance quality design and health and fitness tracking alongside smart features that take some of the burden off your phone. They typically cost anywhere between $200 and $1,000 depending on your needs, but prices will always vary depending on the brand. 

Do you have an iPhone or Android device?

Answering this question will dictate which choices are available. Brands like Fitbit, Garmin, and Withings make smartwatches that are compatible with both iPhones and Android phones. But some of our top picks are only compatible with one platform or the other.

The Apple Watch only works with the iPhone, while Samsung's Galaxy Watch 6 and Google's Pixel Watch 2 are only compatible with Android devices. If you're considering the Galaxy Watch 6, know that the ECG feature is only supported on Samsung's Galaxy devices, unless you side load Samsung's Health Monitor app onto a non-Galaxy phone. 

How much do you want to spend?

Smartwatches come in several different price brackets, and finding which one is right for you depends on your budget and what you want from a smartwatch.

General purpose smartwatches

Google's Pixel Watch.

James Martin/CNET

Most mainstream smartwatches fall around the $300 to $400 range, although you may pay a higher price for extras like LTE connectivity or a fancier finish. These watches provide health monitoring tools, fitness tracking and the ability to replicate some of your phone's functionality. These are the right choice if you want a well-rounded experience, especially when it comes to health and wellness. The Apple Watch Series 9, Fitbit Sense 2, Google Pixel Watch 2 and Samsung Galaxy Watch 6 fall into this category. 

Below are some examples of features you'll find on smartwatches in this price range.

Flagship smartwatch features

  • Plenty of exercise mode options
  • Sleep tracking (sleep duration, sleep stages, etc.)
  • Integrated GPS for tracking outdoor runs
  • The ability to view (and in many cases respond to) texts from your phone
  • The ability to take phone calls from your wrist
  • Optional LTE
  • Voice assistants (Siri, Alexa, Google Assistant) 
  • Blood oxygen saturation monitoring (Note that Apple Watches sold by Apple in the US no longer have this feature)
  • Heart rate monitoring
  • ECG app
  • Temperature readings
  • Always-on display (keeps the screen on even when the watch is idle)
  • Timers, alarms and reminders
  • Notifications from apps on your phone
  • Third-party apps
  • Onboard storage for music
  • Mobile payments

Features will vary depending on the model, but that's the general package you can expect from watches at that price. Some watches have their own specific extras, too. 

The $399 Apple Watch Series 9, for example, has car crash detection and an ultra wideband chip that should make it function better as an iPhone locator and a digital key for your car and home. Google's $350 Pixel Watch 2 and $300 Fitbit Sense 2 have sensors that can passively monitor for signs of stress, while Samsung's $270 Galaxy Watch 6 can measure body composition. Garmin's $349 Forerunner 255 has more of a fitness focus, with built-in programs for triathlon and duathlon training. Fitbit and Garmin's watches also typically excel in battery life over watches from Apple, Google and Samsung. The latter, however, offer a larger selection of third-party apps. 

Lower-priced smartwatches

The second-gen Apple Watch SE.

Lisa Eadicicco/CNET

You can also find smartwatches that cost around $250, give or take. These watches include many of the features mentioned above, but not all of them. If you mostly want to see notifications on your wrist, make mobile payments, track workouts and don't care much about deeper health insights, this type of watch is the right choice. Watches like the Apple Watch SE and Fitbit Versa 4 are examples of value-priced smartwatches.

While watches in this price range are usually the right choice for many people, it's important to remember what you're missing. The $249 second-gen Apple Watch SE, for example, lacks an always-on display, ECG, blood oxygen measurements and a temperature sensor. But it has the same software, high- and low-heart-rate notifications, car crash detection, fall detection and selection of exercise modes as the Series 9. 

The $230 Fitbit Versa 4 has many of Fitbit's most notable fitness features -- like active zone minutes, sleep tracking, built-in GPS and the daily readiness score (which requires a Premium subscription). You can also get phone notifications and access Amazon's Alexa on your wrist, and can access Google Maps and the Google Wallet. But you'll need the pricier $299 Fitbit Sense 2 to get Fitbit's more sophisticated health capabilities, like sensors that scan for potential signs of stress, ECG and a skin temperature sensor. 

Garmin's $250 Venu Sq 2 offers a long battery life (an estimated 11 days) and many health and fitness features for the price (GPS, blood oxygen measurements and sleep tracking). But it doesn't have a speaker or microphone for taking calls, onboard music storage (unless you buy the $299 Music Edition) or access to Google Play Store apps. 

It's hard to find new smartwatches that cost less than $200, although there are some options out there. If you want to pay less and don't necessarily care about using apps, you might want to consider a fitness tracker instead. (Fitbit also works with certain insurance companies to provide devices for members, so it's worth checking if your provider offers this benefit). 

Hybrid watches

The Withings ScanWatch Horizon

Lisa Eadicicco/CNET

Hybrid smartwatches are a cross between a smartwatch and a regular wristwatch. These types of watches usually resemble classic analog watches, and therefore lack some smart features you may find on devices like the latest Apple Watch or Samsung Galaxy Watch.

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For example, hybrid watches usually have standard, round analog watch faces with hands for the hour and minute rather than color touchscreens. Don't expect to get a full-screen view of your incoming alerts; that's what a regular smartwatch is for. Hybrid watches are designed to be more discrete, so they typically include a small screen located on the watch face for showing notifications and fitness stats. Hybrid watches also usually offer significantly longer battery like compared to standard smartwatches, which is one of their biggest benefits.

Examples of hybrid watches include the Withings ScanWatch and ScanWatch Horizon, Garmin Vivomove lineup and Fossil Gen 6 Hybrid. These watches typically cost around the same price as regular smartwatches, meaning you can expect to pay around $150 to $500 depending on the model. A hybrid watch is best for those who prefer the look of classic watches and prioritize having long battery life over smart features like color touchscreens and full app stores.

High-end fitness smartwatches

The Garmin Epix Gen 2.

Lexy Savvides/CNET

There's another major smartwatch category to consider: premium fitness-focused watches. These devices usually have everything you'd find in regular flagship smartwatches, but with more rugged designs and additional characteristics aimed at sports enthusiasts. If you're training for a marathon or work in remote environments that may require a more precise GPS signal, one of these watches may be for you.

You can expect to pay between $500 and $1,000 for these types of watches. Garmin's Epix Gen 2 and Fenix 7 Standard start at $800 and $650 respectively, and the Apple Watch Ultra 2 is available for $799. 

You may wonder what makes these watches better for fitness buffs than their cheaper counterparts. While the specifics will vary, expensive fitness watches tend to have better durability, longer battery life, more accurate location positioning, customizable buttons and extra features that target specific sports, like running, scuba diving or golf. 

The Apple Watch Ultra 2, for example, has a 36-hour battery life compared to the Series 9's 18-hour battery life, water resistance of 100 meters compared to the Series 8's 50 meters, a depth gauge with a water temperature sensor, dual-frequency GPS, a titanium build, a larger screen and a programmable Action button. 

Compared to the Forerunner 255, Garmin's Fenix and Epix watches also have increased water durability (100 meters versus 50 meters), lengthier battery life, dual grid mode for showing location coordinates in different formats, customizable hotkeys and an array of golf-oriented features. (The Forerunner 255 still has plenty of running-focused tools, like a race predictor to help with marathon training, since it's largely aimed at runners.)

When is the best time to buy a smartwatch?

The Fitbit Sense 2.

Lisa Eadicicco/CNET

The best times to buy a smartwatch are generally around Amazon Prime Day or Black Friday and Cyber Monday, when the most discounts are available. For example, several Garmin devices and Fitbit wearables saw discounts last year. 

If you're shopping at any other time during the year, the biggest factor you'll want to consider is when the new version of the smartwatch you're interested in might launch. Doing so ensures that you'll avoid paying a potentially high price for a device that may be outdated shortly. Plus, older models may go on sale once the new version launches. 

It's also a good idea to research what to expect from upcoming smartwatches before making a decision. The next Apple Watch, for example, is expected to be a significant overhaul that may include new health features, like the ability to detect high blood pressure and sleep apnea, according to Bloomberg. Google will also use generative AI to provide new insights based on your fitness data through its upcoming Fitbit Labs feature, which will presumably be available for Pixel Watches and Fitbit device owners who subscribe to Fitbit Premium. For more on what to expect from new smartwatches in 2024, check out this story.

Here's a look at when the major smartwatch makers tend to release new smartwatches based on previous launches. 

Estimated smartwatch release dates

Company Release timeframeApple September/OctoberSamsung July or AugustFitbit Early fallGoogle OctoberGarmin January, February, April, June, September

Should you buy a smartwatch or fitness tracker?

The Fitbit Charge 5

Lexy Savvides/CNET

If you want to spend less than $200 and don't care about features like LTE connectivity, virtual assistants or third-party apps, a fitness tracker could be the right choice. 

Fitness trackers typically provide health metrics like sleep and activity tracking, heart rate, multiple exercise modes and blood oxygen saturation in a smaller (and less expensive) package, but skimp on some smart features like those mentioned above. Since fitness trackers usually have smaller screens, you also won't be able to see as much information at a glance as you would on a smartwatch. 

But fitness bands do offer basic smartphone companion features, such as the ability to show call and text notifications and set timers and alarms. Another benefit is that you'll likely get longer battery life from a fitness band than a traditional smartwatch. Check out some of our favorite fitness trackers. 

If you want a simple and minimalist health tracker that skips the phone notifications entirely, consider a smart ring like those made by Oura and Movano. But keep in mind these devices can still be just as expensive as a smartwatch. Samsung is also launching its wellness-tracking Galaxy Ring later this year, so Android users interested in smart rings may want to wait.

Best smartwatches in 2024

Still not sure where to start when buying a smartwatch? Check out CNET's guide to the best smartwatches for our top picks, which range from below $300 all the way up to $1,000. Most tech and health companies release their new products later in the year, but our current list includes our favorite choices based on what's available today. That includes the Apple Watch Ultra 2, Apple Watch Series 9, Google Pixel Watch 2, Samsung Galaxy Watch 6 and Garmin Epix 2 among others. 

We test smartwatches by tracking workouts with them, wearing them overnight while sleeping, testing how well they automatically detect exercises, relying on them for notifications when away from our phones and running the battery down to see how long they last. We also take readings from the various health sensors and ascertain what they add to the overall experience. Our goal when testing smartwatches is to assess their overall value by evaluating which features they offer, how well these watches execute those functions and how the whole package compares to the competition. 

More smartwatch advice

The Ultimate Cardiologist's Guide to the Smartwatch ECG

Got other questions on your ECG? See the most popular Qaly guides on the ECG:

Introduction

Advances in electrocardiogram (ECG) technology are truly remarkable. Not long ago, if you had worrisome symptoms, you had to either visit your doctor to get an ECG, call 911, or drive to an emergency room. Then came the revolutionary Holter monitor in 1962, which allowed you to take a continuous ECG reading in your own home. For a long time, it could only record continuously for 24 hours, and you needed to get lucky to catch any symptoms during that time. But then, newer monitors, including the more convenient ECG patch monitors, stretched that monitoring interval to a few weeks; however, these require a prescription from your doctor.

Now, you can go out and buy a heart monitor that you wear on your wrist, without a prescription from your doctor. It can automatically monitor your pulse multiple times a day, and to take an ECG, all you have to do is put your finger on the watch’s crown. This new heart monitor, known as a smartwatch, would’ve been unfathomable to Dr. Holter 50 years ago. I, too, still remember marveling at the quality of the tracing when I took my first Apple Watch ECG only two years ago.

So what can your smartwatch ECG do? And what can it tell you about your heart? Just what are all the features packed into that heart monitor on your wrist? In this post, I’ll walk you through these questions and help you understand what your smartwatch is designed to do and importantly, what it is not designed to do.

Electrocardiogram

For us cardiologists, the ECG is the most common test that we order for patients. It gives us an electrical picture of how the heart is beating. We use the ECG to tell if electrical signals are flowing smoothly, if there is injury to the heart, if the heart is too big, or if there are other medical conditions.

The ECG you get from a smartwatch gives you a limited view of this picture. Instead of the 12 “leads,” or angles, that you’d get from the ECG at your doctor’s office, you get one lead: “lead I.” The good news is that you can still learn a lot about your heart with this single lead. When professional photographers are asked, “What is the best camera you can get?,” they often respond, “The one you have on you when you need it.” Similarly, taking a single-lead ECG anytime you wish is invaluable.

Note that the ECG application on the Apple Watch and similar devices were designed for one task: to detect Atrial Fibrillation (AFib). Why? AFib is the most common arrhythmia, affecting over 1% of the US population, and it is associated with an increased risk of stroke, along with other poor outcomes. So, it makes sense to focus a lot of the features on this abnormal heartbeat. The FDA has specifically cleared the Apple Watch ECG for this purpose. In fact, when you take your ECG with this device, the only medical condition that it can tell you about is AFib.

The ability of smartwatches to identify AFib correctly from the ECG is not perfect, but it is very good. There are, however, some limitations to keep in mind. If the heart rate is too fast, which often happens during AFib, the app is unable to classify it as AFib. If there is too much electrical noise, which can happen if you are moving or contracting your arm muscles, then the app cannot interpret the ECG. If the electrical signals are too small, it can also be challenging. Some people, for example, have an irregular heartbeat due to extra heart beats or just normal variation, and if the ECG signal is too small, the watch may get confused. But despite these limitations, the smartwatch ECG usually does this one job of AFib detection very well.

Not only does the ECG app aim to detect if you have AFib, but it also stores the ECG reading, which you can then convert to PDF to send to your health care provider or review yourself. As a cardiologist, I believe the quality of the Apple Watch ECG tracing is usually high enough for me to read and make an interpretation. I’ve had several patients identify AFib with their smartwatch, and I’ve been able to validate by reviewing their PDF tracings. And although you only get a single lead with the smartwatch ECG, there are many insights beyond AFib that a trained professional can glean from reading that one lead.

Most importantly, with a clean recording, we can learn what the heart rhythm actually is. The heart rhythm describes the way that the heart beats electrically. “Normal sinus rhythm” is a description of the normal way that the heart beats – with organized contraction at the top chambers of the heart (atria), followed by organized contraction at the bottom chambers (ventricles). AFib is just one of many types of abnormal heartbeats that can cause palpitations, fatigue, shortness of breath, or similar symptoms. There are also extra heartbeats or premature beats, fast heartbeats such as supraventricular tachycardia and ventricular tachycardia, slow heartbeats such as heart block, and other abnormal electrical problems. The tricky thing is that many of these abnormalities can come and go quickly. To get a diagnosis, you need to catch them at the moment of your symptoms. If you have an abnormal electrical heartbeat other than AFib, the ECG app won’t tell you what it is, but you can send a PDF of your ECG to your health care provider, or to Qaly (on Android or iPhone) for a cardiographic technician’s interpretation.

In a few cases, heart attacks, which are problems with blockages in the blood vessels around the heart, can be picked up on the single lead ECG; however, this is not a reliable way to assess whether you might be having this serious condition. Also, a single lead ECG usually does not provide enough information to rule out structural abnormalities of the heart. For these, a full, multi-lead ECG is needed, along with additional heart testing. Likewise, an ECG is not used to tell if you are having a stroke, lung problems, or other serious cardiovascular conditions. This is why we recommend talking to your doctor if you are experiencing any new symptoms, and not relying solely on the smartwatch ECG.

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