Apple Watch never checks for heart attacks
Basically, this is really just a disclaimer that Apple Watch cannot detect heart attacks.
According to Apple:
Things you should know
Apple Watch cannot detect heart attacks. If you ever experience chest pain, pressure, tightness, or what you think is a heart attack, call emergency services immediately.
Apple Watch is not constantly looking for AFib. This means Apple Watch cannot detect all instances of AFib, and people with AFib may not get a notification.
If you’re not feeling well, you should talk to your doctor even if you don’t get a notification. Symptoms such as a rapid, pounding, or fluttering heartbeat, dizziness, or fainting, can indicate a serious condition.
Do not change your medication without talking to your doctor.
In some instances, the notification may indicate the presence of an irregular heart rhythm other than AFib.
Source: Heart rate notifications on your Apple Watch, Apple.