Apple Watch Irregular Heart Rhythm Notifications Approved in Australia as ECG Approval Edges Closer

The Apple Watch's irregular heart rhythm notifications have been approved in Australia, indicating that approval for the ECG feature may be soon to follow after years of waiting, according to EFTM.

apple watch ecg wrist

Documents seen by EFTM from Australia's Therapeutic Goods Administration show that the Apple Watch's irregular rhythm notifications feature has now been approved and added to the Australian Register of Therapeutic Goods. While this does not mean that the ECG function has been medically certified for use in Australia, it concretely proves that Apple has begun submitting its devices and software to Australian regulatory authorities for approval.

The irregular rhythm notification feature intermittently checks heart rhythm in the background and sends a notification if an irregular heart rhythm is identified that could potentially be atrial fibrillation (AFib). Upon receiving a notification, users in territories where the feature is approved can immediately launch the ECG app and perform a more comprehensive test in just 30 seconds by placing their finger on the Digital Crown to generate an ECG waveform. The irregular rhythm notifications and ECG feature therefore work hand in hand, so it seems unlikely that one feature will be approved long before the other.

Atrial fibrillation is a health condition that often goes undiagnosed, so ECG app and heart rhythm alerts on Apple Watch are highly useful for detecting early signs of disease. ECG readings also normally require a full ECG machine and a visit to the doctor, which is far less convenient than a reading taken with the Apple Watch.

Apple routinely has to gain approval from government health agencies before making the ‌Apple Watch‌'s ECG feature available in different countries. Apple won U.S. FDA clearance to promote and launch the function when the ‌Apple Watch‌ Series 4 was released in 2018. Over two years later, the feature is still not available in Australia.

Last year, the Withings ScanWatch, which similarly features the ability to take an ECG, was approved in Australia, so it is not clear why it is taking Apple so long to apply or gain approval. Regardless, the irregular rhythm notifications approval is the strongest indication yet that the ECG feature is finally edging toward regulatory assent in Australia.

Related Roundup: Apple Watch 11
Tags: Australia, ECG
Buyer's Guide: Apple Watch (Buy Now)

Popular Stories

iOS 26

Everything New in iOS 26.2 Beta 3

Monday November 17, 2025 3:20 pm PST by
Apple provided developers with the third beta of an upcoming iOS 26.2 update, and there are still new features that are being added with each beta that we get. We've rounded up all of the changes that Apple made in beta 3. AirDrop Apple added new AirDrop functionality, providing a way for two people to share files temporarily without having to add one another as contacts. iOS 26.2...
applecare apple care banner

Apple Brings New AppleCare+ Options to India

Tuesday November 18, 2025 8:42 am PST by
Apple today announced an expansion of AppleCare+ coverage in India, with new options for monthly and annual plans, and the addition of Theft and Loss for iPhone for the first time. Options for monthly and annual AppleCare+ plans in India provide more choice and flexibility, allowing users to keep coverage for as long as they require. Apple's vice president of Worldwide iPhone Product...
Apple Wallet ID Illinois

iPhone Driver's License Feature Launching in Illinois

Tuesday November 18, 2025 8:47 am PST by
In select U.S. states, residents can add their driver's license or state ID to the Wallet app on the iPhone and Apple Watch, providing a convenient and contactless way to display proof of identity or age at select airports and businesses, and in select apps. Starting this Wednesday, November 19, the feature will be available to residents of Illinois. The announcement confirmed that the...
iPhone 17 Pro Cosmic Orange

10 Reasons to Wait for Next Year's iPhone 18 Pro

Wednesday November 19, 2025 4:00 am PST by
Apple's iPhone development roadmap runs several years into the future and the company is continually working with suppliers on several successive iPhone models at the same time, which is why we often get rumored features months ahead of launch. The iPhone 18 series is no different, and we already have a good idea of what to expect for the iPhone 18 Pro and iPhone 18 Pro Max. One thing worth...
iPhone 17 Pro and Air N1 Feature

iPhone 17 vs. iPhone 16 Wi-Fi Speeds: New Study Reveals the Winner

Tuesday November 18, 2025 10:53 am PST by
A new study has revealed that the iPhone 17, iPhone 17 Pro, iPhone 17 Pro Max, and iPhone Air achieve significantly faster average Wi-Fi speeds compared to the iPhone 16 series, thanks to Apple's custom-designed N1 chip. The study was conducted by Ookla, the company behind the popular Speedtest website and app. It said the results are based on global, crowdsourced Speedtest user data...
Magic Keyboard Touch ID Feature

Apple Releases New Firmware for 140W USB-C Power Adapter, Magic Keyboard and Magic Trackpad

Tuesday November 18, 2025 1:05 pm PST by
Apple today released updated firmware for several accessories, including the 140W USB-C Power Adapter, the Magic Trackpad 2, the Magic Trackpad USB-C, the Magic Keyboard with Touch ID, and the Magic Keyboard with Touch ID and Numeric Keypad. There is no word on what's included in the updated firmware at this time, but it could offer performance improvements and security updates. Accessory...
macbook black friday

The Best Early Black Friday Mac Deals

Tuesday November 18, 2025 7:32 am PST by
We're getting closer to Black Friday, which lands next week on Friday, November 28. In the lead-up to the shopping holiday, we're tracking a few lowest-ever prices on Apple's most popular Macs, including the M4 MacBook Air and brand new M5 MacBook Pro. Note: MacRumors is an affiliate partner with some of these vendors. When you click a link and make a purchase, we may receive a small payment,...
Apple Sports App Preview Feature

Apple Sports App on iPhone Now Available in More European Countries

Monday November 17, 2025 6:27 am PST by
The free Apple Sports app on the iPhone was released in additional European countries today, including Belgium, Croatia, Czechia, the Netherlands, Luxembourg, Poland, Hungary, Denmark, Finland, Norway, Sweden, Switzerland, Slovakia, Slovenia, Serbia, Greece, Estonia, Latvia, Romania, Ukraine, and others. The app was already available in the U.S., the U.K., Canada, Austria, France, Germany,...
best early black friday deals

Best Black Friday Apple Deals Live Now - Save on AirPods, iPads, and Apple Watches

Saturday November 15, 2025 1:45 pm PST by
We're officially in the month of Black Friday, which will take place on Friday, November 28 in 2025. As always, this will be the best time of the year to shop for great deals, including popular Apple products like AirPods, iPad, Apple Watch, and more. In this article, the majority of the discounts will be found on Amazon. Note: MacRumors is an affiliate partner with some of these vendors. When ...
AirPods Pro Firmware Feature

Apple Releases New Firmware for AirPods Pro 2, AirPods Pro 3, and AirPods 4

Thursday November 13, 2025 11:35 am PST by
Apple today released new firmware designed for the AirPods Pro 3, the AirPods 4, and the prior-generation AirPods Pro 2. The AirPods Pro 3 firmware is 8B25, while the AirPods Pro 2 and AirPods 4 firmware is 8B21, all up from the prior 8A358 firmware released in October. There's no word on what's include in the updated firmware, but the AirPods Pro 2, AirPods 4 with ANC, and AirPods Pro 3...

Top Rated Comments

bobmans Avatar
62 months ago

When did Apple submit it for approval?
Why would they bother submitting if it would get denied? That’s like applying for a CEO position when you’re a 16-year old highschooler.

TGA delayed their changes that would allow ECG on a smartwatch to get approved from July 2020 to February 25 2021. So the Apple watch ECG feature literally can’t get approved before that date.

Link so you can read the changes: https://www.tga.gov.au/medical-devices-reforms-medical-device-software-regulation

Apple is probably one of the companies that was lobbying for these changes. No need to blame TGA’s problems and delays on Apple.
Score: 11 Votes (Like | Disagree)
wbeasley Avatar
62 months ago

I wouldn’t be surprised if the Apple Watch is never approved as an ECG in Australia. The reports of false positives and concern it would cause a rise in unnecessary doctor visits and tests would be enough to stop it.
better a false positive than say dying.

people go to the doctors and have tests done all the time to eliminate suspected problems.

never look at any of the exercise/health functions on your watch? no sleep pattern stats?

it's all data.
use it or dont.
but if the sensors are there and being used to save lives overseas then why can't we have the same functions here?
Score: 8 Votes (Like | Disagree)
bobob Avatar
62 months ago
The hold up is on the Australian end, not Apple's.
Score: 7 Votes (Like | Disagree)
-BigMac- Avatar
62 months ago
HELL YEH! About time. Now for ECG :)
Score: 7 Votes (Like | Disagree)
Stephen.R Avatar
62 months ago

I predict 2050 before they ever get a car off the ground
I dunno man, 30 years for a hover car seems pretty good to me.
Score: 4 Votes (Like | Disagree)
Boeingfan Avatar
62 months ago

Why would they bother submitting if it would get denied? That’s like applying for a CEO position when you’re a 16-year old highschooler.

TGA delayed their changes that would allow ECG on a smartwatch to get approved from July 2020 to February 25 2021. So the Apple watch ECG feature literally can’t get approved before that date.

Link so you can read the changes: https://www.tga.gov.au/medical-devices-reforms-medical-device-software-regulation

Apple is probably one of the companies that was lobbying for these changes. No need to blame TGA’s problems and delays on Apple.
Thank you for the link. I, like many others, have been looking forward to this feature, and by you providing the link I was able to read some factual information about what's happening from the TGA end. Cheers.
Score: 3 Votes (Like | Disagree)