Device comparisons

Samsung Galaxy Watch vs Apple Watch: PPG Sensor and Health Features

Samsung Galaxy Watch7 and Watch Ultra pair only with Android phones; Apple Watch pairs only with iPhone, so the phone usually decides. Both have an FDA-cleared or authorized ECG feature. Samsung adds cuffless blood pressure estimates that need cuff calibration every 28 days. In independent testing, Apple Watch had the lowest heart-rate error and Samsung's older Gear S2 the highest of seven devices (Shcherbina 2017); no study has compared current models.

Devices

ChatPPG comparison of Samsung Galaxy Watch (Watch7 / Ultra) and Apple Watch (Series 10 / Ultra 2). Product photographs, not a measurement.

Samsung Galaxy Watch7 in green: product photograph from Samsung’s gallery. Apple Watch Series 10, jet black aluminum with a black sport band: product photograph from Apple Newsroom, September 2024.

At a glance

This page does not list head-to-head accuracy numbers, so the scoreboard shows hardware differences only.

SpecificationSamsung Galaxy Watch (Watch7 / Ultra)Apple Watch (Series 10 / Ultra 2)
BatteryDiffers425 mAh / 300 mAh (Watch7 44/40 mm); Ultra up to 100 h Power SavingUp to 18 h (Series 10); up to 36 h (Ultra 2)
Water ResistanceDiffers5ATM + IP68 (Watch7); 10ATM + IP68 (Ultra)50 m (Series 10); 100 m (Ultra 2)
ECGDiffersECG Monitor app (FDA K201168)ECG app; irregular rhythm notifications
Blood pressureDiffersCuff-calibrated estimates; recalibrate every 28 days—
PhoneDiffersAndroid onlyiPhone only

Primary rows only. The study tables further down list more results from the accuracy database.

Hardware specs

SpecificationSamsung Galaxy Watch (Watch7 / Ultra)Apple Watch (Series 10 / Ultra 2)
BatteryDiffers425 mAh / 300 mAh (Watch7 44/40 mm); Ultra up to 100 h Power SavingUp to 18 h (Series 10); up to 36 h (Ultra 2)
Water ResistanceDiffers5ATM + IP68 (Watch7); 10ATM + IP68 (Ultra)50 m (Series 10); 100 m (Ultra 2)
ECGDiffersECG Monitor app (FDA K201168)ECG app; irregular rhythm notifications
Blood pressureDiffersCuff-calibrated estimates; recalibrate every 28 days—
PhoneDiffersAndroid onlyiPhone only

Hardware only. Study results are not repeated in this table. Differs marks values that are not the same. An em dash means this page did not publish that figure.

Specs verified on October 17, 2026: Shcherbina et al. 2017, J Pers Med (seven wrist devices), Gillinov et al. 2017, Med Sci Sports Exerc (exercise HR vs ECG, n=50), Han et al. 2023, Hypertension Research (Galaxy Watch BP, 760 users), Samsung: Galaxy Watch7 and Watch Ultra compared with previous models, Samsung Support: Galaxy Watch Ultra battery, Samsung Support: blood pressure on Galaxy Watch, Samsung Support: watch and phone compatibility, FDA 510(k) K201168: Samsung ECG Monitor App, Apple Watch Series 10 technical specifications, Apple Watch Ultra 2 technical specifications, FDA De Novo DEN180042: Apple irregular rhythm notification.

Pros and cons

Samsung Galaxy Watch (Watch7 / Ultra)

Pros

  • ECG Monitor app (FDA 510(k) K201168)
  • Blood pressure estimates after cuff calibration
  • Watch Ultra: up to 100 h in Power Saving mode; 10ATM + IP68

Cons

  • Requires an Android phone (not compatible with iPhone)
  • Blood pressure needs recalibration every 28 days and is not for diagnosis
  • Older Gear S2 had the highest HR error of seven devices (Shcherbina 2017)

Apple Watch (Series 10 / Ultra 2)

Pros

  • Exercise HR concordance 0.92 with ECG (Gillinov 2017)
  • Lowest heart-rate error of seven devices (Shcherbina 2017)
  • ECG app and FDA-authorized irregular rhythm notifications

Cons

  • Series 10: up to 18 hours battery
  • Requires an iPhone
  • No blood pressure estimates

What published studies show

One table per metric. These rows come from the accuracy database and are not repeated as a second card list. From the wearable accuracy database (v1.0.0).

Heart rate at rest3 studies

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch Active29.4 bpm (seated rest)Mean absolute errorHolter ECGn = 23, Rest, sedentary, low- and high-intensity phasesNissen et al. (2022)Independent
Apple Watch Series 9 / Ultra 25.91% (MAE 3.73 bpm)Mean absolute percentage errorPolar H10 + Kubios HRVn = 39, Serial morning measurements over 14 days, 316 readingsO'Grady et al. (2024)Independent
Apple Watch Series 6R-R intervals and BPM at rest1.15%Mean absolute percentage errorECGn = 78, Lab: rest, talking, movie, before/after walkingBonneval et al. (2025)Independent

Heart rate accuracy across devices →

Heart rate during exercise11 studies

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch Active2squats6.1 bpm (squats)Mean absolute errorHolter ECGn = 23, Rest, sedentary, low- and high-intensity phasesNissen et al. (2022)Independent
Samsung Galaxy Watch 6Significantly higher MAE than Apple Watch SE and Verity SenseStudy finding (no single number)ECG chest strap (Polar H7/H10)n = 37, Low/moderate/high-intensity treadmillJeong et al. (2026)Independent
Samsung Gear S2Highest overall error of 7 devicesStudy finding (no single number)ECGn = 60, Sitting, walking, running, cyclingShcherbina et al. (2017)Independent
Samsung Galaxy Watch6−2.67 bpm (LoA −16.90 to 11.57)Mean bias (signed)ECG chest strap (Polar H7/H10)n = 55, Maximal incremental treadmill testInoue et al. (2026)Funding not reported
More results (2)
Device testedResultReferenceSampleStudy
Apple Watch Series 6High agreement in squat, deadlift, cable row (rho > 0.832)Study finding (no single number)ECG chest strap (Polar H7/H10)n = 29, Resistance exercise (5 exercises)Støve et al. (2022)Funding not reported
Apple Watch SESignificantly lower MAE than Polar Pacer Pro and Galaxy Watch 6Study finding (no single number)ECG chest strap (Polar H7/H10)n = 37, Low/moderate/high-intensity treadmillJeong et al. (2026)Independent

7 more results in the database. Heart rate accuracy across devices →

Overnight heart rate1 study

Device testedResultReferenceSampleStudy
Apple Watch Series 6ICC 0.96Intraclass correlationECGn = 53, Overnight, sleep laboratoryMiller et al. (2022)Other maker funded
Apple Watch Series 61.5 bpm (absolute bias)Mean absolute errorECGn = 53, Overnight, sleep laboratoryMiller et al. (2022)Other maker funded

Heart rate accuracy across devices →

HRV (RMSSD)2 studies

Device testedResultReferenceSampleStudy
Apple Watch Series 9 / Ultra 228.88% (MAE 20.46 ms)Mean absolute percentage errorPolar H10 + Kubios HRVn = 39, Serial morning measurements over 14 days, 316 readingsO'Grady et al. (2024)Independent
Apple Watch Series 6ICC 0.67Intraclass correlationECGn = 53, Overnight, sleep laboratoryMiller et al. (2022)Other maker funded
Apple Watch Series 622.5 ms (absolute bias)Mean absolute error (absolute bias)ECGn = 53, Overnight, sleep laboratoryMiller et al. (2022)Other maker funded

HRV accuracy across devices →

Sleep stages (4-stage)4 studies

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch5κ = 0.42Cohen's kappaPolysomnography (PSG)n = 22, Two Korean sleep centres, in-lab PSGLee et al. (2023)Independent
Samsung Galaxy Watch564.9%Epoch-by-epoch agreementPolysomnography (PSG)n = 22, Two Korean sleep centres, in-lab PSGLee et al. (2023)Independent
Apple Watch Series 8κ = 0.53Cohen's kappaPolysomnography (PSG)n = 62, Sleep laboratory, 1 nightSchyvens et al. (2025)Funding not reported
Apple Watch Series 850.5–86.1% (range across stages)SensitivityPolysomnography (PSG)n = 35, Inpatient, 1 nightRobbins et al. (2024)Other maker funded
More results (2)
Device testedResultReferenceSampleStudy
Apple Watch Series 8deep sleep durationDeep sleep −43 minMean bias (signed)Polysomnography (PSG)n = 35, Inpatient, 1 nightRobbins et al. (2024)Other maker funded
Apple Watch Series 653%Epoch-by-epoch agreementPolysomnography (PSG)n = 53, Sleep laboratory, 1 night, 9 h in bed, all devices worn togetherMiller et al. (2022)Other maker funded

3 more results in the database. Sleep accuracy across devices →

Sleep vs wake (2-stage)3 studies

Device testedResultReferenceSampleStudy
Apple Watch Series 8> 90% (all devices)SensitivityPolysomnography (PSG)n = 62, Sleep laboratory, 1 nightSchyvens et al. (2025)Funding not reported
Apple Watch Series 8≥ 95%SensitivityPolysomnography (PSG)n = 35, Inpatient, 1 nightRobbins et al. (2024)Other maker funded
Apple Watch Series 688%Epoch-by-epoch agreementPolysomnography (PSG)n = 53, Sleep laboratory, 1 night, 9 h in bed, all devices worn togetherMiller et al. (2022)Other maker funded
Apple Watch Series 6κ = 0.30Cohen's kappaPolysomnography (PSG)n = 53, Sleep laboratory, 1 night, 9 h in bed, all devices worn togetherMiller et al. (2022)Other maker funded

Sleep accuracy across devices →

Total sleep time1 study

Device testedResultReferenceSampleStudy
Samsung Gear Sportr = 0.59Pearson correlationResearch actigraphyn = 45, Home, 7 daysAsgari Mehrabadi et al. (2020)Independent

Sleep accuracy across devices →

Blood oxygen (SpO2)10 studies

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch5Met ISO RMS ≤ 4% at normoxia and SpO2 < 90%Study finding (no single number)Medical-grade pulse oximetern = 18, Induced hypoxemia (FiO2 14%, 12%, 10%), ISO 80601-2-61Walzel et al. (2023)Independent
Samsung Galaxy Watch4RMSD 1.8%Root-mean-square errorArterial blood gas (SaO2)n = 24, Hypoxia lab, SaO2 plateaus 70–100%, FDA/ISO procedureBrowne et al. (2025)Independent
Samsung Galaxy Watch4RMSE 2.54 points (overnight, vs PSG oximetry)Root-mean-square errorPSG pulse oximetryn = 51, In-lab overnight PSG, continuous SpO2Browne et al. (2024)Maker funded
Apple Watch Series 73.5% (rest)Root-mean-square errorMedical-grade pulse oximetern = 36, Rest, COPD outpatientsStøve et al. (2023)Funding not reported
More results (2)
Device testedResultReferenceSampleStudy
Apple Watch Series 6r = 0.89Pearson correlationMedical-grade pulse oximetern = 265, Spot readingsSpaccarotella et al. (2022)Independent
Apple Watch Series 6−0.23 (LoA −3.49 to 3.04)Mean bias (signed)Medical-grade pulse oximetern = 265, Spot readingsSpaccarotella et al. (2022)Independent

7 more results in the database. SpO2 accuracy across devices →

Atrial fibrillation detection4 studies

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch3smartwatch ECG app, inconclusive tracings counted85% (spec 75%)Sensitivity12-lead ECGn = 201, Tertiary cardiology service, single-lead ECG algorithmsMannhart et al. (2023)Funding not reported
Samsung Galaxy Watch3smartwatch ECG app, inconclusive tracings counted75%Specificity12-lead ECGn = 201, Tertiary cardiology service, single-lead ECG algorithmsMannhart et al. (2023)Funding not reported
Apple Watch Series 6smartwatch ECG app, inconclusive tracings counted85% (spec 75%)Sensitivity12-lead ECGn = 201, Tertiary cardiology service, single-lead ECG algorithmsMannhart et al. (2023)Funding not reported
Apple Watch Series 6smartwatch ECG app, inconclusive tracings counted75%Specificity12-lead ECGn = 201, Tertiary cardiology service, single-lead ECG algorithmsMannhart et al. (2023)Funding not reported
More results (2)
Device testedResultReferenceSampleStudy
Apple Watch + KardiaBand (SmartRhythm 2.0)AF episodes ≥ 1 h97.5% episode sensitivity (PPV 39.9%)SensitivityInsertable cardiac monitorn = 24, Ambulatory, 31,348.9 h of recordingsWasserlauf et al. (2019)Funding not reported
Apple Watch (irregular rhythm notification)PPG irregular pulse notificationPPV 0.84 (95% CI 0.76–0.92)Positive predictive valueECG patchn = 419297, Siteless pragmatic study; ECG patch after notificationPerez et al. (2019)Maker funded

1 more result in the database. AFib accuracy across devices →

VO2max estimate3 studies

Device testedResultReferenceSampleStudy
Apple Watch Series 1013.2% (MAE 6.79 mL/kg/min)Mean absolute percentage errorIndirect calorimetryn = 40, Maximal treadmill test (modified Åstrand)Lambe et al. (2026)Independent
Apple Watch13.31% (MAE 6.92 mL/kg/min)Mean absolute percentage errorIndirect calorimetryn = 30, Maximal treadmill test (modified Åstrand)Lambe et al. (2025)Independent
Apple Watch Series 715.79% (ICC 0.47)Mean absolute percentage errorIndirect calorimetryn = 19, Graded cycle ergometer testCaserman et al. (2024)Independent

VO2max accuracy across devices →

Energy expenditure (calories)7 studies

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch5physical activity energy expenditure, 10 min+56.76 kcalMean bias (signed)Indirect calorimetryn = 50, 10-min recumbent cycling intervalsKostrna et al. (2026)Independent
Samsung Galaxy Watch6 / Watch710.10–12.55%Mean absolute percentage errorIndirect calorimetryn = 148, 27-min intermittent treadmill runningFerreira et al. (2026)Funding not reported
Apple Watch Series 9Inconsistent across all groupsStudy finding (no single number)Indirect calorimetryn = 30, 10-min treadmillChase et al. (2024)Independent
Apple Watch Series 413.5%–27.1% (range by intensity)Coefficient of variationIndirect calorimetryn = 25, Sitting, walking, running, sprintsDüking et al. (2020)Independent
More results (2)
Device testedResultReferenceSampleStudy
Apple Watch Series 614.68–24.85% (poor in all activities)Coefficient of variationIndirect calorimetryn = 60, Sitting, walking, running, resistance, cyclingHajj-Boutros et al. (2023)Funding not reported
Apple Watch Series 8physical activity energy expenditure, 10 min+21.6 kcalMean bias (signed)Indirect calorimetryn = 52, 10-min recumbent cycling intervalsKostrna et al. (2026)Independent

2 more results in the database. Calories accuracy across devices →

Respiratory rate1 study

Only maker-funded evidence for Samsung on this metric.

Device testedResultReferenceSampleStudy
Samsung Galaxy WatchRMSE 1.13 breaths/min (overnight average)Root-mean-square errorPolysomnography (PSG)n = 195, Overnight PSG, nasal thermocouple referenceJung et al. (2023)Maker funded

Blood pressure3 studies

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch5SBP −0.34 / DBP +0.62 mmHgMean bias (signed)Validated cuff (Omron M4)n = 37, 28 days after one calibrationWalzel et al. (2026)Funding not reported
Samsung Galaxy Watch Active283% (spec 41%) for hypertensionSensitivity24-h ambulatory BP monitorn = 40, 24-h ambulatory BP monitoringFalter et al. (2022)Independent
Samsung Galaxy Watch (BP)Pre/post calibration SBP error 6.8 ± 5.6 mmHgStudy finding (no single number)Cuff used for calibrationn = 760, Real-world, 4 weeks post calibrationHan et al. (2023)Funding not reported

Blood pressure watch guide →

Skin temperature1 study

Only maker-funded evidence for Samsung on this metric.

Device testedResultReferenceSampleStudy
Samsung Galaxy Watch5r = 0.42 vs oral temperaturePearson correlationOral thermometern = 85, Nightly wrist skin temperature vs oral temperature on wakingKim et al. (2026)Maker funded

Verdict

Choose by phone: Samsung for Android, Apple Watch for iPhone. Apple has the stronger independent heart-rate evidence; Samsung adds blood pressure estimates that require regular cuff calibration.

Frequently asked questions

Which has better heart rate accuracy: Samsung or Apple Watch?

No study has compared current models. In Shcherbina et al. (2017), Apple Watch had the lowest heart-rate error of seven wrist devices and the Samsung Gear S2 the highest.

Is Samsung Galaxy Watch blood pressure accurate?

Samsung requires calibration against a cuff every 28 days and says the feature is not intended for diagnosis. A real-world feasibility study of 760 Galaxy Watch users (Han 2023) examined measurement stability after calibration, not accuracy against a cuff.

Can I use Samsung Galaxy Watch with iPhone?

No. Samsung lists Galaxy Watch4 and later Wear OS models as incompatible with iPhone.

Device research records

Datasets, papers and validation results for the models named on this page.

Other comparisons

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