How to Set Up and Use ECG on Apple Watch Series 4 or 5

You can make the most of your latest Apple Watch Series 4 or 5 by using ECG app. Here is our complete guide on how to take ECG, share ECG results, and set up irregular heart rate notifications on your Apple Watch.

Apple has been introducing impressive health and fitness features in its smartwatch only to make our lives healthier and fitter. Though there are some hidden motives of Apple behind improving health features, it is beneficial to users. EKG/ECG (Electrocardiogram) on Apple Watch Series 4 or 5 is one of the useful features for cardiac patients. After reading this complete guide, you will be able to use ECG on your Apple Watch Series 4 or 5 in a perfect way.

But before you use this life-saving feature on your smartwatch, you need to set up an ECG app on Apple Watch. Next, if there is an anomaly in your ECG, you can share your ECG results with your doctor. Your Apple Watch also allows you to set up irregular heart rate notifications. Recently, Apple rolled out its watchOS 6 across the world, and with this, ECG app is now working on Apple Watch Series 4 or 5 in countries like India. Note that earlier there were limited countries that support ECG on Apple Watch. Apple  Let’s check out the detailed guide.

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How to Use ECG on Apple Watch Series 4 or 5

Quick navigation:

How to Setup ECG on Apple Watch Series 4 or 5

Before setting up ECG on your watch, you need to update your Apple Watch to watchOS 5.1.2 and your iPhone to 12.1.1. Since Apple has rolled out watchOS 6 and iOS 13.1, you can update your device to the latest updates.

Step #1. Open the Health app on Apple Watch paired iPhone.

Open the Health app on Apple Watch paired iPhone

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Step #2. By default, you are on Summary screen; tap on Electrocardiograms (ECG), which is under Cycle Tracking.

Tap on Electrocardiograms in iOS Health App

Step #3. Now tap on Set Up ECG App.

Tap on Set Up ECG App in iOS Health App to Use on Apple Watch Series 4 or 5

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Step #4. Next, enter your Date of Birth, and tap on Continue.

Enter your Date of Birth, and tap on Continue in iOS Health App

Step #5. Apple gives you essential information on how does the ECG app work. Tap on Continue.

Read How ECG App Work Information and Tap on Continue in iOS Health App

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The ECG app will show you Sinus Rhythm, Atrial Fibrillation (AFib), and Inconclusive results.

Step #6. Tap on Continue.

Tap on Continue again in iOS Health App

Step #7. Next screen shows you what the ECG app cannot do. For example, ECG app cannot detect a heart attack; blood clots or a stroke; and other heart-related conditions. Tap on Continue.

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Read what the ECG app cannot do and Tap on Continue in iOS Health App

Step #8. Finally, you are on Setup Complete screen appears; tap on Done button.

Tap on Done to Enable ECG on Apple Watch Series 4 or 5

You are now on the Sinus Rhythm screen, which means there is no sign of atrial fibrillation. Hurray!!!

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How to Take ECG on Apple Watch Series 4 or 5

Since you have set up ECG, now it’s time to take ECG.

Before you take your ECG, two points to ponder.

  • Recording on ECG takes typically 30 seconds.
  • Make sure your Apple Watch is snugly fit on the wrist you have selected in Settings.

Step #1. Press the Digital Crown on your Apple Watch.

Step #2. This will show you a cluster of apps in honeycomb or grid view (in case you have arranged the apps in list view, your watch will show the apps accordingly).

Step #3. Tap on ECG app on your Apple Watch.

Step #4. Now rest your arms on a table or in your lap → Next, hold your finger on the Digital Crown of the watch for 30 seconds. The watch will start taking your ECG as you can see that serrated line with regular spikes.

  • Don’t take your finger off the digital crown.
  • The watch measures your heart rhythm; you are not supposed to hold your breath.
  • On your watch screen, you can see a graph showing your heartbeat.
  • After 30 seconds, your Apple Watch will show you the ECG.

The ECG app gives you Sinus Rhythm, atrial fibrillation, or inconclusive.

  1. Sinus Rhythm shows that your heart beats properly in a uniform pattern
  2. Atrial fibrillation is an irregular heartbeat pattern
  3. Inconclusive means the app fails to measure ECG for an unknown reason.

Please note that you can check your ECG in the Health app on your iPhone paired with your Apple Watch.

How to View ECG Result on iPhone

Step #1. Open Health App on the paired iPhone → Tap on Health Data from the bottom.

Step #2. Tap on Electrocardiogram (ECG.)

Step #3. Tap on the particular ECG result.

How to Set Up Irregular Heart Rate Notifications on Apple Watch

Apple Watch can also sense irregular heart rates, and it can notify you when your heart beats irregularly. You need to set up irregular heart rate notifications on your watch.

Step #1. Open the Watch app from your iPhone.

Step #2. Tap on My Watch Swipe down and tap on Heart.

Tap on Set Up Irregular Rhythm Notifications in Watch App

Step #3. On this Heart app, tap on Set Up Irregular Rhythm Notifications under Set Up Notifications.

Step #4. Next, tap on Set up Notification.

Set Up Irregular Heart Rate Notifications on Apple Watch

Step #5. On Get Started screen, you are required to enter your Date of Birth. Once you enter the date of birth, Apple asks you: Have you ever been diagnosed with atrial fibrillation by a doctor? Tap on any one radio button: Yes or No. And then tap on Continue.

Enter your Date of Birth and Tap on Continue in iOS Health App

Step #6. You are now on How It Works screen; tap on Continue.

Read Irregular Heart Rate Notifications Work on Apple Watch

Step #7. Apple gives you more information on how Irregular Rhythm Notifications work. There are four things you should know about. Keep tapping on Next button at the bottom until you reach the Continue button.

Read information on how Irregular Rhythm Notifications work and Tap on Continue in iOS Health App

Step #8. When you tap on Continue button, you are finally on the screen of Receiving a Notification; tap on Turn on Notifications button from the bottom of the screen.

Turn ON Irregular Heart Rate Notifications on Apple Watch Series 4, 5

You have successfully enabled Irregular Rhythm Notifications.

Once you set up the irregular heart rate notifications, you can go back and check HEART RATE NOTIFICATIONS toggle on Heart Health screen. There is a switch next to Irregular Rhythm; you can turn it ON and OFF to enable HEART RATE NOTIFICATIONS.

How to Export ECG Results to PDF and Share it with Doctor

So you have taken your ECG on your Apple Watch. Having seen some irregularity in your heartbeat, you may wish to see your doctor first. But before you rush to the hospital, you can share your ECG results with your doctor.

Step #1. After taking an ECG on your Apple Watch, go to the Health app on your iPhone.

Step #2. Tap on Health Data from the bottom menu.

Step #3. Next, tap on Electrocardiogram (ECG.)

Step #4. Now tap on ECG result you wish to send to your doctor.

Step #5. The screen will show you ECG Detail; on this screen, you will see the option “Export a PDF for Your Doctor.” Tap on it.

Tap on Export a PDF for Your Doctor in ECG Details in iOS Health App

Step #6. Tap on the Share button from the top right corner of your phone screen.

Tap on Share button to Share ECG Report to Your Doctor

Step #7. Two rows of options will swipe up from the bottom; you can select any one option to send the PDF.

Share Export ECG Results with Doctor from iPhone

You can choose Message or Email to export the PDF to the doctor. Your doctor will receive the ECG in PDF format.

When to Use ECG on Apple Watch

ECG feature is not for fun. You should use it judiciously when you need it. You can use ECG on your Apple Watch when you are feeling symptoms like a rapid or skipped heartbeat; when you have some concerns about your health; when you get irregular heart rhythm notifications.

That’s all, friends!

Summing up…

Apple’s run to chase the health and fitness industry is commendable. By adding new features and technology, the tech giant is making users’ life healthier and more comfortable. ECG on Apple Watch is a welcome feature; fitness lovers would surely use this feature on their latest watches.

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What feature would you like to see in the next Apple Watch? Do you think medical practitioners would accept the ECG results taken on Apple Watch Series 4 or 5? Do share your feedback with us on Facebook and Twitter. Also, make sure to download our app to read more informative contents.

Jignesh Padhiyarhttps://www.igeeksblog.com
Jignesh Padhiyar is the co-founder of iGeeksBlog.com who has a keen eye for news, rumors and all the unusual stuff that happens around Apple products. During his tight schedule, Jignesh finds some moments of respite to share side-splitting contents on social media.
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