Tactile visual synapses combine the functionality of tactile artificial synapses with the ability to visualize their activity in real time and provide a direct and intuitive visualization of the activity, offering an efficient route for in situ health monitoring. Herein we present a tactile visual synapse that enables in situ monitoring of finger rehabilitation and electrocardiogram analysis. Repetitive finger flexion and various arrhythmias are monitored and visually guided using the developed tactile visual synapse combined with an electrical and optical output feedback algorithm. The tactile visual synapse has the structure of an electrochemical transistor comprising an elastomeric top gate as a tactile receptor and an electrochemiluminescent ion gel as a light-emitting layer stacked on a polymeric semiconductor layer, forming an electrical synaptic channel between source and drain electrodes. The low-power (similar to 34 mu W) visualization of the tactile synaptic activity associated with the repetitive motions of fingers and heartbeats enables the development of a convenient and efficient personalized healthcare system.