Start with your existing records.
- Record an ECG using Apple’s ECG app on a compatible Apple Watch, and check that it appears in the Health app on your iPhone.
- Open ECG Reports and allow the Health data types you want to review.
- Refresh your records. Add notes and symptoms to give them context.
ECG Reports reads existing recordings. Installing it does not enable ECG recording on an unsupported Watch or in a region where Apple’s ECG feature is unavailable.
Apple Health & ECGs.
Why are no ECG recordings showing?
First, check whether the recording is visible in Apple Health on the same iPhone. If it is missing there, allow time for your Watch and iPhone to sync through Apple Health.
If it is visible in Health, review ECG Reports’ Health permissions and enable reading electrocardiograms. Reopen ECG Reports and refresh. Empty results may mean no matching records are available or read access has not been granted.
Where do I change Health permissions?
In Apple Health, open your profile and find Apps or Apps and Services, then ECG Reports. Review the data types you have allowed. Exact labels can vary by iOS version. You can revoke access at any time.
Does the app work offline?
Locally saved notes, journal entries, and available records can be reviewed offline. New readings must first become available through Apple Health. Watch-to-iPhone delivery depends on device connectivity and may be delayed by the system.
Your Watch, your iPhone, one journal.
How do I set up the Apple Watch app in 3.0?
Install ECG Reports 3.0 on your iPhone and paired compatible Apple Watch. Open the Watch app, choose Enable Apple Health, and allow the data you want to review. Open ECG Reports on iPhone too, and enable Watch syncing if you want wrist entries delivered there.
What syncs between Watch and iPhone?
Watch symptoms, check-ins, context events, and medication intake entries can be delivered to the iPhone journal when syncing is enabled. Medication definitions are also exchanged where needed. The Watch saves new entries locally and keeps them queued until the iPhone confirms saving them.
ECGs and heart metrics come from Apple Health on each device. The Watch is not a full mirror of every iPhone screen, PDF, or historical record.
An entry has not arrived. What should I check?
- Confirm that Watch syncing is enabled in ECG Reports.
- Check that iPhone and Watch are paired and connected, with Bluetooth and Wi-Fi enabled.
- Open ECG Reports on both devices and review the connection and pending-delivery status.
- Allow time for queued entries to arrive. Apple controls background delivery, so it may not be immediate.
A queued entry is not the same as a lost entry. Avoid uninstalling the Watch app or clearing its data while entries are still pending. If delivery remains stuck, contact me with the app versions and status shown.
Does ECG Reports continuously monitor my heart?
No. It displays available readings with their recorded time. It does not provide continuous monitoring, emergency alerts, or a diagnosis.
Blood pressure, without duplicate work.
Can I use blood pressure readings already in Apple Health?
Yes. Allow ECG Reports to read blood pressure and make sure measurements are saved in Apple Health. You can also add a reading manually when needed.
Can the app or my Watch measure blood pressure?
ECG Reports does not measure blood pressure. It displays saved measurements or values you enter. Use an appropriate blood pressure monitor to obtain a reading; you do not need one to use the app’s ECG and journal features.
Reports, previews, and measurement tools.
How do I prepare a report?
Open a report or doctor-visit workflow, choose the date range and records you want to include, and preview the PDF before exporting. Use the system share options to save or send your file. Names and menu locations may vary by app version.
Reports are summaries for review and discussion, not medical conclusions. Check the selected records and any notes before sharing.
What do QT/QTc and other analysis tools mean?
These tools are for reviewing a recording and understanding the displayed measurements. Single-lead ECGs, noise, and marker placement can affect results. Automated QT/QTc, PAC/PVC, and T-wave estimates have not been clinically validated by the developer and must not be treated as a diagnosis or used to change medication or treatment.
If a result seems wrong or unclear, discuss the original recording with a qualified clinician. You can report a software issue without sending your medical record.
Can I use the app on iPad or iPhone Duo?
The iPhone app also supports iPad. Version 3.0 adds an adaptive Today layout for iPhone Duo, including compact and unfolded views. Data shown depends on the Health records and permissions available on that device.
Keep a copy before making changes.
Use the local backup export/import options on iPhone to keep a copy of app-managed information. Store exported backups securely. Before deleting an app, confirm that important Watch entries have arrived and export what you want to keep. Deleting app data may remove local notes and journal entries; imported Apple Health records are separate from those app-managed records.
Device backups are managed by Apple and your settings. A local export is a file you control, not a developer cloud account. See the privacy policy for more detail.
A real person on the other side
Tell me what happened.
I’m Christos, the independent developer behind ECG Reports. If something is confusing or not working, I’d like to understand it.
Include your app version, iPhone/Watch model, OS version, the steps you tried, and any error text. Please redact screenshots and avoid sending ECGs, health records, medication details, or other sensitive information.
Email opens in your own mail app. There is no support form or automatic diagnostic upload on this website. Support cannot provide medical advice or emergency assistance.