Best Fitbit & Garmin For Blood Pressure Monitoring & ECG In 2025

If you are looking for Fitbit or Garmin devices that can monitor your blood pressure or ECG, this guide is for you.

Blood Pressure Monitoring & ECG are two of the most in-demand features in smartwatches these days and consumers want them so that they could track their key health metrics.

Many of our readers also ask me about the Fitbit & Garmin smartwatches that come with Blood Pressure Monitoring and ECG. So, in this guide, I’m going to address this question and will tell you if Fitbit or Garmin smartwatches have any of these features. And if Yes, which smartwatches have them?

In A Glance: Our Top Garmin & Fitbit Smartwatches For ECG

In this WearToTrack Guide, I’ll cover:

• Do Fitbit & Garmin smartwatches have Blood Pressure Monitoring?
• Do Fitbit & Garmin smartwatches have ECG?
• Can you use a smartwatch to detect heart issues?
• The difference between ECG Monitoring & Blood Pressure
• How do ECG Smartwatches work?
• How does Blood Pressure Monitoring work on Smartwatches?
• List of Garmin Watches with ECG Monitoring
• List of Fitbit Watches with ECG Monitoring
• And many more!

Blood Pressure Monitoring & ECG are two very advanced features that were not previously available on smartwatches.

Good news!

But the good news is that smartwatch companies including Fitbit & Garmin are gradually working on making these features available on their smartwatches. 

In 2025, there are smartwatches available that come with at least one of these two life-saving features and I’ll tell you about them.

So, without any further ado, Let’s get started.

Can Fitbit & Garmin Smartwatches Monitor Blood Pressure?

Blood Pressure is considered a silent killer and it affects over 1.3 billion people worldwide. It’s the reason why it’s one of the most-demanded features in smartwatches and smartwatch companies are aware of it.

Currently, Blood pressure monitoring is not available on any major smartwatches including the ones by Fitbit & Garmin.

The conventional method of taking blood pressure ratings revolves around squeezing. This method works well on large devices but smartwatch companies are not sure about the feasibility of it on smartwatches.

FDA has approved a wearable device by Omron(Omron – HeartGuide) that comes with an inflatable cuff inside that it uses to detect blood pressure.

Big smartwatch companies such as Fitbit, Samsung, and others don’t want to rely on conventional methods instead they want to use light sensors to detect blood pressure.

In April of 2021, Fitbit publicly announced that it was launching a study to look at how Fitbit devices can potentially measure blood pressure using Pulse Arrival Time (PAT). 

PAT is basically the time which pulse of your blood takes to reach your wrist after your heart beats and Fitbit wants to explore if it can be used to track blood pressure. 

It’s worth noting here that many modern Samsung smartwatches use a similar technique, known as Pulse Wave Analysis, to measure blood pressure and it’s available in many regions. In the US, the FDA hasn’t approved it yet but it’s expected that Samsung will get the approval soon.

It’s important to note that both, Garmin ECG App and Fitbit’s App are FDA-cleared.

At the time of writing this article, Garmin is publicly not working on Blood pressure monitoring for its smartwatches. However, the company does have separate blood pressure monitors which can be used with its smartwatches.

Best Fitbit & Garmin Smartwatches With ECG

Fitbit Sense 2 Advanced Health and Fitness Smartwatch with GPS

Health enthusiasts seeking thorough cardiac monitoring will find the Fitbit Sense 2 particularly valuable. This advanced smartwatch offers an ECG app for atrial fibrillation detection alongside irregular heart rhythm notifications and extensive SpO2 monitoring.

You’ll benefit from stress management features, personalized Sleep Profiles, and over 40 exercise modes with built-in GPS tracking. The impressive 6+ day battery life (12 hours with continuous GPS) means you won’t constantly reach for the charger.

While most users praise its customizable interface and sleep tracking accuracy, some report touch sensitivity issues and occasional heart rate monitoring discrepancies during intense workouts. The included 6-month Premium membership enhances the overall experience with additional insights.

Best For: Health-conscious individuals seeking comprehensive health metrics, stress management, and sleep analysis in a smartwatch with extended battery life.

Pros:

• Extensive health tracking features including ECG, SpO2, and stress monitoring provide a holistic view of your wellbeing
• Impressive battery life of 6+ days (12 hours with continuous GPS) reduces charging frequency
• Customizable interface with 40+ exercise modes and personalized sleep profiles adapts to individual fitness needs

Cons:

• Touch interface can be problematic, with users reporting sensitivity issues and misinterpreted gestures
• Heart rate monitoring accuracy may be inconsistent during vigorous physical activities
• Some features require the premium subscription after the included 6-month trial expires

Fitbit Charge 6 Fitness Tracker with Google Apps, GPS & Heart Rate Monitoring

The Fitbit Charge 6 delivers extensive fitness tracking in a sleek wristband form, making it ideal for health-conscious users who prefer a tracker over a traditional watch design.

You’ll appreciate its thorough health monitoring capabilities, including detailed sleep analysis, calorie tracking, and 40+ exercise modes. The built-in GPS tracks your routes without needing your phone, while Google app integration lets you control YouTube Music and use Google Maps and Wallet.

Be aware that battery life may fall short of the advertised week-long duration, and some users report accuracy issues with distance and calorie metrics. It doesn’t sync with Apple’s Fitness app, which might disappoint iOS users.

Best For: Health-conscious individuals seeking comprehensive fitness tracking with Google app integration in a compact wristband form rather than a full smartwatch.

Pros:

• Comprehensive health tracking with 40+ exercise modes, detailed sleep analysis, and 24/7 heart rate monitoring
• Built-in GPS allows route tracking without needing to carry your phone
• Seamless integration with Google apps including Maps, Wallet, and YouTube Music controls

Cons:

• Battery life may not meet the advertised week-long duration, requiring more frequent charging
• Some users report accuracy issues with distance tracking and excessively high calorie burn estimates
• Doesn’t sync with Apple’s Fitness app, limiting functionality for iOS users

Google Pixel Watch 3 (45mm) Android Smartwatch with Heart Rate Tracking

Google’s latest Pixel Watch 3 brings impressive health tracking capabilities to Android users looking for ECG functionality in a stylish package. The 45mm model features a screen that’s twice as bright and 40% larger than previous versions, housed in a sleek Matte Black Aluminum case.

You’ll benefit from advanced Fitbit integration, including readiness tracking that monitors sleep, resting heart rate, and heart rate variability. The watch measures cardio load to track heart exertion while providing real-time guidance during workouts.

With 24-hour battery life and compatibility with Android 10.0 or newer, it seamlessly connects to your Pixel ecosystem.

Best For: Android users seeking a premium smartwatch with advanced fitness tracking capabilities, seamless Google ecosystem integration, and a bright, larger display.

Pros:

• Impressive 45mm display that’s twice as bright and 40% larger than previous models, offering excellent visibility and user experience
• Comprehensive health and fitness tracking with Fitbit integration, including readiness metrics, cardio load monitoring, and custom workouts
• Seamless connectivity with Google Pixel devices, Nest products, and Android 10.0+ smartphones

Cons:

• Limited 24-hour battery life may require daily charging, which could be inconvenient for some users
• Premium price point compared to other Android smartwatch options on the market
• May not offer enough specialized features for serious athletes who might prefer Garmin alternatives

Garmin Venu 3 Smart Watch with AMOLED Touchscreen Display

Boasting a vibrant 1.4-inch AMOLED touchscreen display with impressive 454 x 454 resolution, the Garmin Venu 3 Smart Watch delivers premium visual clarity for fitness enthusiasts who value both functionality and style.

This 45mm slate stainless steel beauty offers extensive health monitoring with wrist-based heart rate tracking, sleep analysis, and women’s health features. You’ll enjoy exceptional 14-day battery life—far outlasting competitors—while maintaining connectivity via Bluetooth and Wi-Fi.

With 8GB memory and animated on-screen workouts, you’re never without guidance. Users particularly praise its calorie tracking accuracy compared to Fitbit and Apple alternatives. At just 1.6 ounces, it’s comfortable for all-day wear while maintaining durability.

Best For: Fitness enthusiasts who value comprehensive health tracking, extended battery life, and a premium display in a smartwatch that works seamlessly with both Android and iOS devices.

Pros:

• Exceptional 14-day battery life outperforms most competitors in the smartwatch market
• Vibrant 1.4-inch AMOLED touchscreen with 454 x 454 resolution provides excellent visibility
• Comprehensive health and fitness features including accurate calorie tracking, sleep monitoring, and animated on-screen workouts

Cons:

• Higher price point compared to basic fitness trackers with similar core functionality
• Some users report occasional tracking inaccuracies for certain activities
• At 45mm, the watch size may be too large for users with smaller wrists

Garmin fēnix 8 Sapphire Premium Multisport GPS Smartwatch (51mm)

Premium in every sense, Garmin’s fēnix 8 Sapphire delivers exceptional performance for serious athletes and outdoor enthusiasts who demand military-grade durability with cutting-edge health monitoring.

This 51mm powerhouse features an AMOLED display protected by sapphire glass and titanium bezel. You’ll appreciate the built-in LED flashlight and impressive battery life—up to 29 days in smartwatch mode. Multi-band GPS with SatIQ technology guarantees precise positioning during your adventures.

With 32GB storage, built-in speaker and microphone for calls, and thorough health metrics, the fēnix 8 justifies its premium price tag, earning a solid 4.6/5 stars from users.

Best For: Dedicated athletes, serious outdoor adventurers, and fitness enthusiasts who prioritize durability, comprehensive activity tracking, and are willing to invest in premium features.

Pros:

• Exceptional battery life lasting up to 29 days in smartwatch mode and 84 hours in GPS mode
• Premium build quality with sapphire lens, titanium bezel, and 40-meter water resistance
• Comprehensive fitness tracking with advanced metrics like training readiness scores and real-time stamina monitoring

Cons:

• Premium price point makes it a significant investment
• Some users report issues with heart rate accuracy and sleep tracking metrics
• 51mm size may be too large for those with smaller wrists

Garmin epix Pro (Gen 2) Sapphire Edition High Performance Smartwatch

The Garmin epix Pro (Gen 2) Sapphire Edition stands as a heavyweight contender for serious athletes who demand premium durability with intelligence. Its 1.4″ AMOLED display is protected by scratch-resistant sapphire crystal, while the titanium bezel offers both strength and style.

You’ll appreciate the multi-band GNSS with SatIQ technology for pinpoint accuracy during activities. The built-in LED flashlight proves invaluable for night training, while the extensive health monitoring suite tracks everything from HRV status to advanced sleep metrics.

While it lacks microphone capabilities for calls, the weeks-long battery life and customizable interface make it worth the investment for fitness enthusiasts seeking detailed performance insights.

Best For: Serious athletes and outdoor enthusiasts who prioritize advanced fitness tracking, durability, and extensive battery life over traditional smartwatch communication features.

Pros:

• Exceptional build quality with sapphire crystal display and titanium bezel offering premium durability for rugged outdoor activities
• Impressive battery life lasting weeks in smartwatch mode, eliminating the need for frequent charging during extended adventures
• Comprehensive fitness tracking with advanced metrics like Hill Score, Endurance Score, and HRV status providing detailed performance insights

Cons:

• Lacks microphone and speaker capabilities, preventing phone calls directly from the watch
• High price point may be prohibitive for casual fitness enthusiasts seeking basic tracking features
• Steep learning curve with complex interface that requires time to master all available features and customizations

Garmin tactix 8 51mm Solar Charged Premium Tactical GPS Smartwatch

Military personnel and extreme outdoor enthusiasts will find their match in Garmin’s tactix 8. This premium tactical GPS smartwatch features a 1.4″ solar-charged display with titanium bezel and sapphire lens for ultimate durability.

You’ll benefit from specialized tactical features including jumpmaster activity, stealth mode, kill switch, and night vision compatibility. The built-in LED flashlight enhances visibility in low light conditions.

With impressive battery life—up to 48 days in smartwatch mode and 149 hours in GPS mode with solar charging—you’re covered for extended missions. Multi-band GPS with SatIQ technology and the Applied Ballistics solver guarantee precision navigation and targeting capabilities.

Best For: Military personnel, tactical professionals, and extreme outdoor enthusiasts who need a rugged, feature-rich smartwatch with specialized tactical capabilities and exceptional battery life.

Pros:

• Extraordinary battery life with up to 48 days in smartwatch mode and 149 hours in GPS mode when solar charged
• Comprehensive tactical features including jumpmaster activity, stealth mode, kill switch, and night vision compatibility
• Premium construction with titanium bezel, sapphire lens, and built-in LED flashlight for maximum durability and functionality

Cons:

• Premium price point makes it a significant investment compared to standard smartwatches
• Size and weight may be excessive for users with smaller wrists or those preferring a more discreet wearable
• Advanced tactical features may be unnecessary for casual users seeking basic fitness and smartwatch capabilities

Garmin Enduro 3 Ultraperformance GPS Smartwatch with Solar

Ultramarathon runners and extreme endurance athletes will find their perfect match in the Garmin Enduro 3. This ultralight 63-gram powerhouse offers exceptional battery life—up to 90 days in smartwatch mode and 320 hours with GPS—making it ideal for multi-day adventures.

You’ll appreciate the 1.4-inch sapphire display, built-in LED flashlight, and UltraFit nylon strap designed for long-wearing comfort. The improved solar charging works even in low light conditions, while TopoActive maps and dynamic routing keep you on track.

Despite lacking some smart features like text response, its endurance-focused design earned it 4.6/5 stars from users.

Best For: Ultra-endurance athletes, ultramarathon runners, and outdoor adventurers who require exceptional battery life and lightweight performance for multi-day expeditions without regular charging access.

Pros:

• Extraordinary battery life with up to 90 days in smartwatch mode and 320 hours in GPS mode with solar charging
• Ultralight 63-gram design with durable titanium bezel and sapphire crystal lens that maximizes comfort during extended activities
• Advanced features specifically designed for endurance sports including TopoActive maps, built-in LED flashlight, and effective solar charging even in low light

Cons:

• Lacks smart features found in other premium watches such as text response capabilities and “Find my iPhone” functionality
• Limited watch face options compared to other Garmin models in the same price range
• Initial setup can be complex and the learning curve may be steep for users new to advanced fitness trackers

Garmin D2 Air X10 Aviator Smartwatch with GPS

Pilots seeking advanced aviation functionality in a smartwatch will find the Garmin D2 Air X10 exceptionally essential. Its bright AMOLED touchscreen displays crucial aviation data including METARs, TAFs, runway information, and airport frequencies when paired with your smartphone.

Beyond the cockpit, this lightweight 1.8-ounce device offers impressive health tracking with 25+ sport apps and Pulse Ox monitoring—particularly useful for monitoring blood oxygen levels during flight. You’ll enjoy up to 7 days of battery life and automatic flight logging.

While it lacks ECG capabilities, its aviation-specific features make it a standout choice for pilots who prioritize flight functionality over advanced heart monitoring.

Best For: Pilots and aviation enthusiasts who need specialized flight data, GPS functionality, and health tracking features in a lightweight, touchscreen smartwatch.

Pros:

• Comprehensive aviation features including METARs, TAFs, runway information, and automatic flight logging
• Long battery life of up to 7 days with bright AMOLED touchscreen display
• Versatile health and fitness tracking with 25+ sport apps and Pulse Ox monitoring for blood oxygen levels

Cons:

• Charging method is considered inconvenient and requires careful placement
• Lacks some advanced smartwatch features like comprehensive app support and text response capabilities
• Mixed user feedback regarding screen durability and accuracy of certain features like golf course information

Check out this Garmin page to learn more about the ECG app and it’s availability on different regions and softwares.

Important Note About Blood Pressure Monitoring

It’s crucial to highlight that as of May 2025, neither Fitbit nor Garmin offers true clinical-grade blood pressure monitoring in the traditional sense (with systolic/diastolic readings in mmHg). Garmin’s “Blood Pressure Trend” feature tracks relative changes but doesn’t provide actual blood pressure readings and shouldn’t replace medical devices.

For readers seeking actual blood pressure measurement in a wearable, they might want to consider specialized devices like the Omron HeartGuide or wait for future technology developments, as several companies are working on cuffless blood pressure monitoring technology.

Can Smartwatches Detect Heart Issues?

Many modern smartwatches these days come with the ECG Feature but the question is can they detect heart issues? The answer is not very simple so let’s get into details.

The heart is a very complex organ and it’s not very easy to detect heart issues. When it comes to detecting heart issues, ECG is a very useful test because it records your heart’s electrical activity which tells the doctors a lot about the health of your heart.

Many smartwatches these days come with FDA-approved ECG and studies show that ECG on smartwatches is almost as accurate as the one in a medical sitting. According to one study which was published by JAMA Cardiology shows the ECGs generated by Apple Watch 4 were 93% to 95% accurate at correctly identifying different types of a heart attacks. 

Similarly, other smartwatches such as Samsung, Fitbit, and Garmin also have FDA-approved ECG Apps which can conduct ECG tests on your smartwatch and provide detailed results.

Also, many of these smartwatches come with AFib detection and it’s a condition where your heart beats too slowly, too fast, or in an irregular pattern.

The above facts show that Smartwatches can detect heart issues but it’s also a fact that these devices are not 100% accurate. You can surely rely on these smartwatches to get a basic idea of your heart health but you shouldn’t 100% rely on them. So, if you feel that something is not okay, you should contact your doctor and get it checked.

What’s The Difference Between ECG Monitoring & Blood Pressure Monitoring?

ECG Monitoring (Also known as EKG Monitoring) is a test that is conducted to test the electrical activity and rhythm of your heart. Once the ECG is conducted, it provides a graph that doctors can examine to detect various heart conditions including arrhythmias, coronary heart disease, heart attacks, and cardiomyopathy. 

On the other hand, Blood Pressure of circulating blood against your blood vessels. In BP Monitoring, you can get three results: low bp, normal bp, and high BP. 

If the Blood pressure is low, it means that your vital organs including your brain are not getting enough blood. It can cause dizziness, blurred vision, and fatigue so if you experience any of these issues, you should contact your doctor.

If the blood pressure is high, it means that your heart is working too hard and it can lead to heart stroke, brain problems, and other issues. So, High BP is not a good thing and if you have a high BP, you must contact and visit your doctor immediately.

Here is an article that I have written about Top 6 Google Fit Compatible Blood Pressure Monitors.

How Smartwatches Do ECG?

Most smartwatches these days come with a dedicated ECG Sensor which can track your heart rhythm and use it to do ECG.

So, when you want to do ECG, you will need to start the ECG App and put your finger on the crown or a specific button on your watch and wait for a certain period. Your smartwatch will gather the data and then send it to the algorithm which will do the ECG.

Frequently Asked Questions [FAQs]

Does Fitbit Have A Watch That Monitors Blood Pressure?

Currently, none of the Fitbit smartwatches can monitor blood pressure. However, the company is reportedly working on its blood pressure monitoring feature and it’s expected to launch pretty soon.

Which Fitbit Is Best For Blood Pressure Monitoring?

Blood Pressure monitoring is currently not available for Fitbit Smartwatches.

Do Garmin Watches Have Blood Pressure Monitoring?

No, Garmin watches don’t have a blood pressure monitoring feature.

Which Fitness Smartwatch Is Best For Blood Pressure Monitoring?

These are some of the only smartwatches available that come with blood pressure monitoring using an inflatable cuff:

• Omron HeartGuide
• YHE BP Doctor Pro

Can I Use Fitbit Or Garmin Smartwatch To Track My Heart Rate?

Yes, Fitbit and Garmin Smartwatches come with a dedicated heart-rate sensor that can accurately track your heart rate variability.

Can A Fitbit Detect Heart Problems?

Fitbit comes with FDA Approved ECG feature which you can use to conduct ECG tests on your smartwatch. You can share it with your doctors and they can analyze it to detect heart problems.

Fitbit smartwatches also come with AFib detection which is a plus. Considering these facts, it’s safe to say that Fitbit can detect heart problems but it’s not a replacement for a medical exam. So, if you feel any discomfort, you must visit your doctor.

Conclusion

ECG & Blood Pressure monitoring are two of the most requested features on smartwatches. ECG is currently available for selected models of Fitbit & Garmin but Blood pressure monitoring is not available on any of Fitbit or Garmin Smartwatches.

However, there are some smartwatches that come with ECG & Blood pressure monitoring and I’ve shared them with you.

I hope that you found this guide useful and if you have any questions for me, please let me know in the comments. Also, check this guide where I’ve shared the FDA-Approved Android ECG Smartwatches.