Product Reviews 5 min read
by Luca Bramwell

Which Fitness Watches Track Heart Health Most Accurately?

Which Fitness Watches Track Heart Health Most Accurately?

Let’s be real—fitness watches are everywhere. From high-end smartwatches to sporty trackers, we’ve got more options than ever promising to monitor our heart health like a personal cardiologist. But here’s the question that kept tugging at me: Are these things actually accurate, or are we just wearing fancy wrist accessories?

After trying a few myself and deep-diving into the science and user reviews, I realized that heart health tracking isn’t just about cool features. It’s about trust. If I’m going to base my workouts, stress levels, or even doctor conversations on what my watch says, it better be getting the numbers right.

So, let me walk you through what I found—from how the tech works, to how different brands performed on my wrist, to some surprising factors that most people don’t talk about.

How Fitness Watches Really Track Your Heart

Before we get into comparisons, let’s peel back the curtain on what’s actually happening underneath that sleek little screen.

1. The Tech Behind the Tick

Most fitness watches rely on photoplethysmography (PPG)—yes, that’s a mouthful. Basically, these sensors shine a green light into your skin and detect blood flow changes with every heartbeat. It’s clever, noninvasive, and pretty standard across the industry.

2. Where Accuracy Can Get Messy

Now, here’s where things get tricky. Your watch isn’t working in a vacuum. Skin tone, tattoos, arm hair, motion, even how tightly it’s strapped on—these all affect the light’s reflection and, in turn, your heart rate reading. I learned this the hard way when my post-workout pulse readings were all over the place... until I realized I’d worn the band too loose.

3. What That Means for You

So even though the core tech is solid, the numbers you see might not be as precise as you think. That’s why understanding how to use these watches (and which ones handle conditions better) makes all the difference.

I Tried These Popular Watches—Here’s How They Stacked Up

With all the marketing hype, I wanted to test what actually holds up. I picked three major players and spent weeks using them through workouts, hikes, stress meltdowns, and lazy Sundays.

1. Apple Watch Series 8

This one’s probably the most recognized—and for good reason. The Apple Watch Series 8 packs in serious sensors and even includes an ECG function that can alert you to irregular rhythms.

On my runs and walks, I was impressed by how consistent the heart rate readings were, even when I broke into a sprint or cooled down. Plus, it synced smoothly with my Health app, which helped me spot patterns in stress spikes after meetings (anyone else?).

2. Fitbit Sense

If you like a wellness-first approach, the Fitbit Sense goes beyond steps and sweat. It’s got heart rate tracking, sure, but also stress management tools, skin temperature sensors, and ECG support.

What stood out most to me? The guided breathing sessions that kicked in when my heart rate climbed. I didn’t just see the numbers—I learned to lower them.

3. Garmin Venu 2

Garmin is known for performance and accuracy, especially for athletes. The Venu 2 didn’t disappoint. I wore it during my weekend hikes, and its GPS + Pulse Ox tracking made it perfect for outdoor activity.

Even on uphill climbs when I was panting like a Labrador, the readings were steady and realistic. Plus, the longer battery life meant I didn’t need to worry about mid-hike charging.

Let’s Talk About Skin Tone and Sensor Accuracy

Here’s a conversation we don’t hear often enough—and one that hit close to home during my research.

1. Why Skin Tone Matters

The PPG sensors depend on how light reflects off your skin. For those with darker skin tones (myself included), the light might not bounce back as clearly. This can lead to underestimations or erratic readings, especially during high-motion activities.

2. What the Brands Are Doing About It

To their credit, companies like Apple and Fitbit are continuously updating their algorithms to adjust for these differences. But it’s not perfect. And if you’re relying on your fitness watch for heart data, it’s worth keeping this in mind.

3. My Own Experience

There were moments when I’d be mid-spin class, feeling like my heart was pounding, only for the watch to show a gentle 85 bpm. After repositioning or tightening the strap, readings corrected. Awareness helped me catch inaccuracies early—and adjust accordingly.

Get the Most Out of Your Watch: My Best Tips

These gadgets can be super helpful—but only if we’re using them right. I picked up some smart habits along the way that helped make my data more dependable and useful.

1. Fit It Right

The fit makes a huge difference. Your watch should be snug (not tight), especially during exercise. A wobbly watch is a confused watch.

2. Keep Sensors Clean

After workouts, I always wipe down the back of the watch. Sweat and dust can block the light sensors and throw off your readings.

3. Calibrate When You Can

Some watches let you calibrate heart rate based on activity—walking pace, run rhythm, etc. Take advantage of that. It helped my Apple Watch learn my normal vs. elevated beats over time.

4. Use Third-Party Apps for Deeper Insights

If you love data like I do, syncing your watch with apps like Garmin Connect, Fitbit Premium, or Apple Health lets you track trends over weeks. I once spotted a consistent rise in resting heart rate after poor sleep—which helped me change my bedtime habits.

Critic’s Cut!

  1. Apple blends sleek design with clinical-level heart monitoring. Stylish and smart.
  2. Fitbit Sense offers more than tracking—it coaches you through heart health habits.
  3. Garmin Venu 2 nails outdoor precision and battery life for adventure types.
  4. Sensor accuracy still has work to do with skin tone variations—stay informed.
  5. Your usage habits matter just as much as your device. Set it up for success!

So, Which Fitness Watch Deserves Your Wrist?

Here’s my honest take after living with all three: there’s no single winner. Instead, it depends on what you need.

Want that all-in-one smartwatch that also looks sleek in a meeting? Apple Watch Series 8 could be your match.

Looking for a wrist-based wellness coach to help with heart rate, stress, and daily habits? Fitbit Sense brings a supportive vibe.

Prefer data-rich tracking for training and outdoor adventures? Garmin Venu 2 might just become your favorite trail buddy.

No matter what you choose, remember: your heart deserves thoughtful tech and conscious care. Don’t just trust the numbers blindly—use them to tune into what your body’s really telling you.

Because in the end, it’s not just about hitting goals or tracking steps—it’s about listening to your heart in the truest sense of the word.

Meet the Author

Luca Bramwell

Clinical Research Interpreter & Health Science Writer

Luca Bramwell lives at the intersection of hard data and human impact. With a background in clinical research and a deep respect for peer-reviewed science, he’s here to translate medical jargon into everyday insights. He’s your go-to for understanding what the *studies actually say*, especially when the headlines spin it sideways. From longevity hacks to biohacking claims, Luca brings the receipts—and explains them clearly.

Luca Bramwell