On Apple Watch Series 1 or later the IRNF analyzes pulse rate data collected by the photoplethysmograph (PPG) sensor to identify episodes of irregular heart rhythms suggestive of AFib and it provides a notification to the user when it detects an episode
Does Apple Watch have a PPG sensor?
The PPG sensor hardware has changed over the generations of Apple Watch. With the Series 4 Apple Watch a simplified sensor array was introduced which appeared to offer more accurate heart rate measurements during workouts.
Does Apple Watch use infrared light?
The optical heart sensor can also use infrared light. This mode is what Apple Watch uses when it measures your heart rate in the background, and for heart rate notifications. Apple Watch uses green LED lights to measure your heart rate during workouts and Breathe sessions, and to calculate walking average and Heart Rate Variability (HRV).
How does Apple Watch work?
When your heart beats, the blood flow in your wrist — and the green light absorption — is greater. Between beats, it’s less. By flashing its LED lights hundreds of times per second, Apple Watch can calculate the number of times the heart beats each minute — your heart rate. The optical heart sensor supports a range of 30–210 beats per minute.
Does Apple Watch based on PPG require additional ECG confirmation?
According to the European Society of Cardiology (ESC) 2020 guidelines, methods based on PPG require additional ECG confirmation, which is possible in Apple Watch Series 4 and higher and occasionally, in case of doubt, needs to be verified with traditional 12-lead ECG tracing ( Fig. 1 ).
Overview
Learn how Apple Watch measures your heart rate, and get tips for a more accurate reading.
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How to check your heart rate
You can check your heart rate any time using the Heart Rate app. Open the app, then wait for Apple Watch to measure your heart rate. You can also view your resting, walking, breathe, workout, and recovery rates throughout the day. To easily open the app, add the Heart Rate complication to your watch face.
You can also turn on heart rate notifications, so you know if your heart rate remains above or below a chosen beats per minute (BPM), or to occasionally check for an irregular heart rhythm.
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When Apple Watch measures your heart rate
When you use the Workout app, Apple Watch measures your heart rate continuously during the workout and for 3 minutes after the workout ends to determine a workout recovery rate. If you don't see your heart rate, check your settings.
This information, as well as other data it collects, helps Apple Watch estimate how many calories you’ve burned. In addition, Apple Watch measures your heart rate throughout the day when you’re still, and periodically when you’re walking (Apple Watch Series 1 or later). Since Apple Watch takes these background readings based on your activity, the time between these measurements will vary. Apple Watch also calculates a daily resting rate and walking average by correlating background heart rate readings with accelerometer data when sufficient background readings are available.1 You can control which third-party apps have access to your health data from the Health app in Sources.
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How Apple Watch measures your heart rate
The optical heart sensor in Apple Watch uses what is known as photoplethysmography. This technology, while difficult to pronounce, is based on a very simple fact: Blood is red because it reflects red light and absorbs green light. Apple Watch uses green LED lights paired with light‑sensitive photodiodes to detect the amount of blood flowing through your wrist at any given moment. When your heart beats, the blood flow in your wrist — and the green light absorption — is greater. Between beats, it’s less. By flashing its LED lights hundreds of times per second, Apple Watch can calculate the number of times the heart beats each minute — your heart rate. The optical heart sensor supports a range of 30–210 beats per minute. In addition, the optical heart sensor is designed to compensate for low signal levels by increasing both LED brightness and sampling rate.
The optical heart sensor can also use infrared light. This mode is what Apple Watch uses when it measures your heart rate in the background, and for heart rate notifications. Apple Watch uses green LED lights to measure your heart rate during workouts and Breathe sessions, and to calculate walking average and Heart Rate Variability (HRV).
Apple Watch Series 4 and later and all models of Apple Watch Ultra also have built-in electrodes in the Digital Crown and the back of Apple Watch, which can measure the electrical signals across your heart when used with the Heart Rate app or the ECG app. When you place your finger on the Digital Crown, it creates a closed circuit between your heart and both arms, capturing the electrical impulses across your chest.
To use the electrical heart sensor to measure your heart rate, open the Heart Rate app and place your finger on the Digital Crown. You will get a faster reading with higher fidelity — getting a measurement every second instead of every 5 seconds. You’ll see "ECG" in Heart Rate Context when looking at recorded data for Heart Rate in the Health app. You can also use the electrical heart sensor to take an ECG with the ECG app.
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For best results
Start with a good fit. Even under ideal conditions, Apple Watch may not be able to get a reliable heart rate reading every time for everybody. And for a small percentage of users, various factors may make it impossible to get any heart rate reading at all. But there are things you can do to help Apple Watch get the most consistent and best heart rate readings possible. Learn what else affects your reading.
1. Some anomalies may appear in the displayed data, resulting in occasional heart rate measurements that are abnormally high or low.
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