Best Health Wearables with ECG and Blood Pressure Monitoring in 2025
Your Guide to Cutting-Edge Devices for Heart and Cardiovascular Health
As wearable technology continues to evolve, health-focused devices with advanced features like electrocardiogram (ECG) and blood pressure monitoring have become essential tools for proactive wellness management. In 2025, these devices are more accurate, user-friendly, and integrated into daily life than ever before, empowering users to track critical health metrics in real-time. Whether you’re monitoring heart health, managing hypertension, or seeking early warning signs of cardiovascular issues, the right wearable can make a difference. Below, we highlight the top health wearables of 2025 that combine ECG and blood pressure monitoring, along with their pros, cons, and suitability for different users.
Top Picks for 2025: ECG and BP Monitoring Wearables
1. Apple Watch Series 9 (and newer models, e.g., Series 10)
Key Features:
-
- ECG Monitoring: FDA-cleared, detects irregular heart rhythms like atrial fibrillation.
-
- Blood Pressure Monitoring: While Apple does not include built-in BP tracking, third-party apps like iHealth or Withings can sync with the watch via compatibility with wearable BP cuffs (e.g., the Withings BPM).
Pros:
-
- Seamless integration with the iOS ecosystem.
-
- Advanced AI-driven health insights via Apple Health.
-
- High accuracy for ECG, with regular software updates.
Cons:
-
- Blood pressure tracking requires an external device.
-
- Limited standalone BP monitoring.
Target Audience: Tech-savvy users, Apple ecosystem enthusiasts, and those prioritizing ECG analysis.
Price: Starting at $399 (Series 10, depending on size and cellular model).
2. Samsung Galaxy Watch 7 (and newer models like the Galaxy Watch 8)
Key Features:
-
- ECG Monitoring: Allows users to capture ECG readings for arrhythmia detection.
-
- Blood Pressure Monitoring: Uses optical sensors and advanced algorithms for non-invasive BP tracking, though accuracy may vary compared to traditional cuffs.
Pros:
-
- High-resolution AMOLED display and long battery life (up to 6 days).
-
- Compatibility with both Android and iOS.
-
- AI-powered “Smart BP” feature for trend analysis.
Cons:
-
- Blood pressure monitoring accuracy is not FDA-approved in all regions.
-
- ECG function may require occasional calibration.
Target Audience: Android users, fitness enthusiasts, and those seeking multi-platform compatibility.
Price: Starting at $350 (Galaxy Watch 8).
3. Fitbit Sense 2 (and upcoming models like the Fitbit Sense 3)
Key Features:
-
- ECG Monitoring: Detects abnormal heart rhythms and provides data for cardiac health.
-
- Blood Pressure Monitoring: Currently offers BP tracking through a partnership with Welldoc; however, this feature requires a continuous glucose monitor (CGM) and is not standalone.
Pros:
-
- Excellent for overall health tracking (stress, sleep, EDA).
-
- Affordable compared to premium smartwatches.
-
- Robust companion app for habit building and analytics.
Cons:
-
- BP monitoring is limited and may not be as precise as dedicated devices.
-
- ECG feature is less detailed than competitors.
Target Audience: Budget-conscious users focused on holistic health metrics.
Price: Starting at $299.
4. Withings BPM (Smart Blood Pressure Monitor)
Key Features:
-
- ECG Monitoring: Not included in this device, but the Withings ScanWatch offers ECG.
-
- Blood Pressure Monitoring: FDA-approved, uses a wrist cuff with advanced pressure sensors for accurate readings.
Pros:
-
- Precise BP measurements with heart rate tracking.
-
- Sleek design and multi-device compatibility (iPhone, Android, Fitbit).
-
- Free app with cloud storage and notifications.
Cons:
-
- No ECG feature; requires pairing with a separate smartwatch.
-
- Manual operation (users must place the cuff manually).
Target Audience: Users prioritizing reliable BP monitoring without ECG, or those pairing it with a smartwatch.
Price: $199.
5. Garmin Venu 2/3 (and newer models like the Venu 4)
Key Features:
-
- ECG Monitoring: Available on the Venu 3 and later models, with FDA clearance for detecting atrial fibrillation.
-
- Blood Pressure Monitoring: Not built-in, but Garmin partners with Biosensics for BP tracking via the Garmin Connect app (requires a BP cuff).
Pros:
-
- Long battery life (up to 10 days).
-
- Advanced Garmin Health app with personalized insights.
-
- High-quality ECG readings and durability.
Cons:
-
- BP monitoring is not built-in; requires additional accessories.
-
- Less focus on luxury design compared to Apple or Samsung.
Target Audience: Outdoor enthusiasts and users valuing battery life over aesthetics.
Price: Starting at $349 (Venu 3).
Additional Options to Consider
-
- Amazfit GTR 4: Offers ECG and BP tracking via a non-invasive optical sensor, with a focus on affordability and design.
-
- Mio Alpha 2: Non-invasive BP monitoring with a built-in ECG, ideal for users prioritizing simplicity.
-
- Kinsa Smart Thermometer (paired with apps): Not a wearable but integrates with health platforms for broader data collection.
Why ECG and Blood Pressure Monitoring Matter
ECG (Electrocardiogram):
-
- Detects irregular heart rhythms (e.g., atrial fibrillation) and potential signs of heart disease.
-
- FDA-cleared models ensure medical-grade accuracy for critical insights.
Blood Pressure Monitoring:
-
- Helps manage hypertension, a leading risk factor for heart disease and stroke.
-
- Non-invasive options are improving, but traditional cuffs remain the gold standard for precision.
Choosing the Right Device in 2025
-
- Accuracy vs. Convenience: While ECG is widely available in wearables, BP monitoring often relies on optical sensors (less accurate than traditional cuffs).
-
- Medical Approval: Prioritize devices with FDA or CE certifications for reliable readings.
-
- Integration: Ensure compatibility with your smartphone and health apps (e.g., Apple Health, Google Fit).
-
- Battery Life and Comfort: Devices like the Garmin Venu series or Amazfit GTR 4 offer longer battery life, ideal for daily use.
Conclusion
By 2025, health wearables have become indispensable for tracking cardiovascular health, but accuracy and functionality vary. The Apple Watch and Samsung Galaxy Watch lead in ECG capabilities, while Withings BPM remains the gold standard for BP monitoring. For those needing both features in one device, third-party accessories or hybrid wearables may be necessary. Always consult a healthcare provider for medical interpretations, as wearables are tools for awareness, not diagnosis.
Final Tip: Pair a smartwatch with a dedicated BP monitor (like Withings or Omron) for comprehensive health tracking. As tech advances, expect even more seamless integration of these features in future models, making proactive healthcare more accessible than ever.
Stay informed, prioritize your health, and choose a device that aligns with your lifestyle and medical needs.
