Smartwatches With ECG
Apple Watch Ultra 2 Review: Rugged Performance Meets Clinical-Grade Heart Monitoring
The Apple Watch Ultra 2 represents the pinnacle of consumer health wearables, offering a robust suite of sensors housed in an aerospace-grade titanium chassis. Its primary clinical utility centers on the FDA-cleared ECG app, which utilizes a single-lead (Lead I) electrical heart sensor integrated into the Digital Crown. Clinical trials for the ECG app demonstrated a 99.6% specificity in classifying sinus rhythm and 98.3% sensitivity in detecting Atrial Fibrillation (AFib) for classifiable recordings. Beyond spot-checks, the device features an Irregular Rhythm Notification (IRNF) system that passively monitors pulse intervals via the optical heart sensor (PPG), alerting users to potential undiagnosed AFib. The Ultra 2 also includes a blood oxygen (SpO2) sensor and a temperature sensor for cycle tracking and sleep health. While the manual emphasizes that these features are not intended for medical diagnosis, the high correlation between the Ultra 2's data and clinical-grade equipment makes it a vital tool for longitudinal health surveillance in active populations.