Best BP Monitor for Arrhythmia 2026 (ECG-Equipped Picks)
By the BP Monitor Lab editorial team · Written from manufacturer documentation and published guidance, not from our own device testing · Updated: October 5, 2026
Home blood pressure monitors report heart rhythm in three different ways. One cuff sold in the US records an ECG trace. Two screen for atrial fibrillation by name. Most of the rest flag an irregular beat and cannot say why. None of them diagnoses anything. This page shows which monitor does which.
Three Kinds of Rhythm Feature
- Irregular heartbeat flag. An icon appears when the monitor detects an irregular rhythm during the reading. The US Preventive Services Task Force says cuffs like this detect an irregular heartbeat, which may or may not be atrial fibrillation.
- AFib screening by name. In our catalogue only the Omron Platinum BP5465 and the Omron Gold BP5360 have it. It is still a screening signal.
- Single-lead ECG. The monitor records an electrical trace that a clinician can read. It is one lead, not the 12 leads of a clinic ECG.
Who should use any of these is not ours to say. The US Preventive Services Task Force found the evidence insufficient to recommend for or against screening for atrial fibrillation in adults 50 or older who have no symptoms. Ask your clinician.
How the options compare
| Monitor | Rhythm feature | FDA clearance we have read | Price |
|---|---|---|---|
| Omron Complete 2-in-1 (BP7900) | Records an ECG | K182579 | $100 to $200 |
| Omron Platinum (BP5465) | Screens for AFib | Not confirmed by us | $50 to $100 |
| Omron Gold (BP5360) | Screens for AFib | Not confirmed by us | $50 to $100 |
| Omron Silver (BP5255) | Flags an irregular beat | Not confirmed by us | $50 to $100 |
| Withings BPM Connect (WPM05) | None | Not confirmed by us | $100 to $200 |
| Withings BPM Core | Records an ECG | None we could find | Not sold in the US |
"Not confirmed by us" means we have not opened an FDA record for that model. It does not mean the monitor lacks one.
Pick 1: Omron Complete 2-in-1 (BP7900)
The Omron Complete is an upper arm cuff that also records a single-lead ECG. The FDA cleared it in March 2019 as a blood pressure monitor plus EKG, under K182579. Blood pressure works without a phone, but the ECG is the reason to buy it and the trace is only readable in the Omron Connect app.
What it does
- One user, 90 readings on the device
- Records an ECG you can send to a doctor
- Syncs to a phone over Bluetooth
- Cuff fits 9 to 17 inches
- We can cite independent validation for this exact model
What it does not
- The trace is a single lead, not a full 12-lead ECG
- The ECG is read in the app, so it needs a phone or tablet
- It stores one user
- It does not diagnose anything
What about the Withings BPM Core?
You will see the BPM Core recommended in many places. It is not sold in the United States, and we could not find an FDA clearance for it. We wrote up the whole situation in our Withings BPM Core explainer. If you want blood pressure and an ECG in one device in the US, the Omron Complete above is the one you can buy.
Pick 2: Omron Platinum BP5465 (screening, no trace)
The Platinum BP5465 goes further than a plain irregular-beat icon: it has a Possible AFib detector that screens for atrial fibrillation by name. It does not record a trace. When it suspects AFib it withholds the reading entirely, because Omron states that blood pressure measured during AFib is generally not reliable. Omron's manual also says the BP5465 has not been validated for patients with atrial fibrillation.
What it does
- 2 people, 100 readings each on the device
- Averages several readings for you in one sitting
- Screens for atrial fibrillation by name
- Syncs to a phone over Bluetooth
- Cuff fits 9 to 17 inches
- We can cite independent validation for this exact model
What it does not
- No ECG trace, so there is no recording to hand a clinician
- Not validated for patients with atrial fibrillation, per its manual
- It does not diagnose anything
Check the Omron Platinum BP5465 on Amazon
What to Do if Your Monitor Flags AFib
- Sit quietly for a few minutes and take another reading, since arm movement can trigger the flag on its own.
- Save the reading rather than deleting it. A single flag is not informative; a record of them is.
- Keep measuring on your normal schedule and keep the log.
- Bring that log to a healthcare professional and let them decide what it means and how urgently.
When a Monitor That Records a Trace Makes Sense
- A clinician has asked you to record rhythm traces between appointments
- You already have a diagnosed arrhythmia and your care team wants the data
- You are being followed after a procedure and have been told what to record
Where this comes from
Guideline and evidence last checked: 2026-10-05. We publish what these sources say. Where they decline to give a rule, we say that instead of inventing one.
- •Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement, US Preventive Services Task Force, 2022-01-25
- •Measurement of Blood Pressure in Humans: A Scientific Statement From the American Heart Association (2019), American Heart Association, 2019-03-04
- •Home Blood Pressure Monitoring, American Heart Association
Fact-check history
What we have corrected on this page, and when. We publish the mistakes as well as the fixes.
- 2026-10-05: Rebuilt from the product record. Removed an FDA cleared mark from three monitors whose clearance we have not confirmed, an irregular pulse icon credited to the Withings BPM Connect, which has no rhythm feature, and a claim of above 95 percent sensitivity for AFib, which had no source.
- 2026-10-05: Removed advice about who an ECG monitor makes most sense for and what is enough for first-time screening. The US Preventive Services Task Force found the evidence insufficient to recommend for or against screening.
- 2026-10-04: Linked the FDA's own record for K182579 in place of the FDA search form.
- 2026-08-30: Removed an escalation protocol and purchase criteria we had written as though they were clinical guidance, including an incorrect line about blood thinners being used for rhythm control.
- 2026-08-31: Removed a fabricated attribution: the page said the American Heart Association warrants a clinical ECG after repeated flags over a week. The AHA says no such thing.
Related Reading
- Best BP monitor for atrial fibrillation
- Withings BPM Core review
- Omron Platinum (BP5465) review
- BP monitor accuracy and validation standards
Frequently Asked Questions
Can a home blood pressure monitor diagnose AFib?
No. The US Preventive Services Task Force notes that atrial fibrillation has traditionally been defined by documenting it on a standard ECG, typically a 12-lead one. A cuff's irregular heartbeat flag may or may not be AFib. A monitor like the Omron Complete records a single-lead trace, and a clinician still has to read it.
What is the difference between an irregular pulse icon and a true ECG reading?
The icon appears when the monitor detects an irregular rhythm during the measurement. It cannot say why. Omron's manuals warn it can appear simply because the monitor detected arm movement. An ECG records an electrical trace of the heart rhythm that a clinician can read.
Which home BP monitors have FDA-cleared ECG?
In the US, the Omron Complete 2-in-1 (BP7900) is the one to look at. The FDA cleared it in March 2019 under K182579. The Withings BPM Core is often listed alongside it, but it has no US clearance and Withings does not sell it here. Other monitors flag an irregular pulse without recording any ECG trace.
Should I buy an ECG monitor or stick with irregular pulse detection?
That is a question for your clinician, not for us. The US Preventive Services Task Force found the evidence insufficient to recommend for or against screening for atrial fibrillation in adults 50 or older who have no symptoms. If a clinician has asked you to record traces at home, the Omron Complete is the home cuff sold in the US that records one.
What should I do if my monitor flags AFib?
Sit quietly and take another reading, because Omron's manuals say arm movement can trigger the flag by itself. Save any repeat flags rather than deleting them, and bring the log to a healthcare professional, who is the person to judge what it means and how urgently. We do not publish a number of flags that should trigger a call, because no source we trust publishes one. If your monitor records an ECG trace, keep it and share it the same way.
Are these monitors covered by HSA or FSA?
Ask your plan administrator. IRS Publication 502 says the cost of devices used in diagnosing and treating illness can count as a medical expense, but it does not name blood pressure monitors. Keep the itemised receipt.
How accurate are these ECG readings?
We cannot give you a figure, because we could not source one. Omron publishes ESH-IP and ISO 81060-2 validation for the blood pressure function of the Complete 2-in-1. The FDA cleared the device as a blood pressure monitor plus EKG under K182579. Clearance is not an accuracy study of the ECG. The trace is a single lead, not a 12-lead ECG, so a clinician has to read it.
Can I share the ECG with my doctor?
The trace is read in the Omron Connect app, not on the monitor. Check the app for how it lets you share a recording, and ask your doctor how they want to receive it.
Primary Sources
- FDA 510(k) record K182579, Omron Model BP7900 Blood Pressure Monitor + EKG. The FDA's record
- FDA 510(k) database. We searched it and could not find any US clearance for the Withings BPM Core. The search form
- US Preventive Services Task Force. Screening for Atrial Fibrillation, final recommendation statement, January 25, 2022. uspreventiveservicestaskforce.org
- IRS Publication 502 (2025), Medical and Dental Expenses, section on diagnostic devices. irs.gov