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Hi, thank you for sharing your inquiry about the ECG feature on the Charge 5, @Gard16.
You don’t need a Premium subscription to use the ECG feature on the Charge 5. However, keep in mind that there's a list of availability per country for the ECG feature, you can review if your country has been added here.
If your country isn’t on the list, the App might appear later when the use if this feature is approved in your country.
Have a great day!
Best Answer