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How to enable ECG and blood pressure features on Samsung Galaxy Watch 4

Samsung Galaxy Watch 4 supports a wide range of health and fitness tracking features. However, some of these features are not available to all users. For example, ECG and blood pressure are limited to certain regions, and you cannot use them when the clock is paired with a non-Samsung phone, even in supported regions. Fortunately, there is a solution to get these features in all regions, even on non-Samsung devices. If you’re using a Galaxy Watch 4 with a non-Samsung phone or don’t have access to features due to regional restrictions, here’s how you can activate the ECG and blood pressure on your Galaxy Watch 4.

How to enable ECG and blood pressure features on Samsung Galaxy Watch 4

To enable ECG and blood pressure monitoring on your Samsung Galaxy Watch 4 in unsupported locations or with a non-Samsung phone, you will need to install the modified Samsung Health Monitor application from Winteringhamfields Senior Member Dante63. You will need to install the modified application on both your phone and Galaxy Watch 4 to use these features. Follow the steps below to install the modified Samsung Health Monitor application. However, before proceeding, download all the required files from the link below.

Download the modified Samsung Health Monitor app

The Google Drive link above includes all the files you’ll need to enable ECG and blood pressure monitoring on your Galaxy Watch 4. It also includes some guides to help you if you’re stuck somewhere during the process.

Note: Before proceeding with the steps below, make sure you have the Galaxy Wearables app installed on your phone and paired with the Galaxy Watch 4. Make sure you install the Galaxy Watch 4 plugin from the Play Store as well.

Install the modified Samsung Health Monitor application on your phone

Installing the modified Samsung Health Monitor application on your phone is a fairly straightforward and straightforward process. Just locate the modified application in the Drive folder linked above (labeled Phone.WearOS.SHM.MOD.XXXXXX.dante63.apk) and transfer it to the root directory of your phone.

On your phone, use a file explorer to navigate to the root directory and locate the modified APK.

Note: For this purpose, I am using a OnePlus 10 Pro and the OxygenOS MyFiles stock app. If you don’t have a file explorer on your phone, you can download any of the options listed in our collection of the best file management apps for Android.

Touch the modified Samsung Health Monitor APK to install it. You should now see a pop-up window with permissions to install applications from unknown sources. Follow the instructions to go to the device settings and allow the installation of the application in the file manager.

You should instantly see another pop-up window with a Installation button. Touch it to install the app, then tap Completed in the next pop-up window to complete the installation.

That rounds off the light side. Now, let’s move on to the complex bit, which is installing the modified Samsung Health Monitor application on the Galaxy Watch 4 using ADB.

Install the modified Samsung Health Monitor application on your Galaxy Watch 4

Installing the modified Samsung Health Monitor application on the Galaxy Watch 4 requires ADB. If you’re unfamiliar with installing ADB on your computer, you’ll be glad to know Dante63 offered a simple solution.

Open Follow SHM MOD WearOS the folder in the Google Drive folder above. Then open it READ ME -ADB Manual instructions folder and extract the contents of the ZIP file from the folder to the desktop. Now, double-click the Minimal ADB Fastboot executable and follow the instructions provided in the installation wizard to configure ADB.

Minimum ADB Fastboot command line window for installing SHM MOD with watermark

A command line window should appear as soon as you complete the installation. If not, simply browse to the directory when you have installed Minimal ADB Fastboot and double-click the tagged file cmd-here.

You must activate before continuing ADB troubleshooting and Troubleshoot Wi-Fi clock settings. To enable these options, you must first enable Developer Options. To do this, go to the device settings on the clock, scroll to the end About the clock option and tap it.

On the next page, select Software option and then press Software version on the next page several times to activate Developer mode.

Return to the device settings and select Developer options. Then tap the switches next to it ADB troubleshooting and Troubleshoot Wi-Fi settings to activate them.

Note: If your watch is set to connect to a Wi-Fi network, it should now automatically connect to the saved network and show you the IP under Debug over Wi-Fi option. If you’re not connected to Wi-Fi, go to Connections option on the main settings page and connect to a Wi-Fi network. Make sure you’re connected to the same Wi-Fi network on your computer. You can also use your phone’s mobile hotspot for this purpose.

Once you’ve connected to Wi-Fi, tap the active connection and write down the IP address listed on the next page.

IP address in Samsung Galaxy Watch 4 wifi connection settings

Return to the Minimal ADB and Fastboot command line window on your computer and type “adb connect” followed by the IP address from the previous step.

ADB Fastboot Minimum Command Line Window for SHM MOD Installation with Blurred IP Address

You should see a clock prompt instantly asking if you want to allow troubleshooting. Select Kif you only want to allow one-time debugging or Always allow from this computerif you do not want to repeat the process again.

Now set your watch aside, type the following ADB command, and press Enter to install the modified Samsung Health Monitor application on your watch. For this command to work as intended, you must have the modified Samsung Health Monitor APK in the same directory as the tagged file cmd-here. Also, replace X in the command below with the current version number of the APK.

adb -s "IP address" install Watch.SHM.MOD.X.X.X.XXX.dante63.apk

Once the app is successfully installed, you should see “Success” in the command prompt window. Now log out of ADB using the following command.

adb disconnect

You should now be able to see the modified Samsung Health Monitor application in the app drawer of your watch. When you open the modified application on your phone, the Galaxy Watch 4 should connect automatically and you should be able to see the Blood Pressure and ECG tabs. You can follow the instructions provided in the application to configure these features. When you’re done, add the ECG boards and blood pressure to your watch and you’re done.

Before you start using these features, be sure to turn off ADB debugging on your Galaxy Watch 4, otherwise it will affect the battery life. To do this, go back to developer options and press the switch next to the ADB troubleshooting option.

It is worth noting that because this method uses a modified Samsung Health Monitor application, you may experience some of the expected issues. In addition, you won’t be able to sync your blood pressure data between your watch and your Samsung Health app on your phone. However, the Drive folder above includes a workaround with detailed instructions on how to set up blood pressure synchronization. If you’re having trouble, go to the Winteringhamfields forum topic below to share your feedback with the developer.

Samsung Health Monitor Winteringhamfields mode forum thread

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Hi, By Profession I am an Injury Attorney who handles accident cases of cars with no insurance. I took College Classes online to get a degree in game design too.
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