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I am having the same issues. I would think that the one big thing to look out for is not only the watch update but the Samsung Health update on the phone. Samsung Health updated on my watch on the 24th in the US and didn't include ECG. However, the app on my phone hasn't been updated since late August. I figured they both would need to be to for the watch to have a database to track to.
The Health Monitor app was crashing for me every time I went in it. I tried so many things to try to fix it... uninstall app on watch, on phone, clear cache, clear data, many other things. Ultimately, what fixed the issue for me was to DISABLE the S-Health app and then the Samsung Monitor App worked properly. I then re-enabled S-Health and they both worked properly. Good Luck! (PS, I was using the Galaxy S7 and the Galaxy Active Watch 2)
My Galaxy watch active 2 has now been updated to Tizen 22.214.171.124 and I have a Google Pixel 3XL with Android 11.
I do not have the Health Monitor app available to me to take ECG. I have reset my watch and cleared the cache on the Samsung-connected apps on my phone. I also tried uninstalling/reinstalling the Samsung Health App on my phone. Nothing has worked so far. Has anyone else had this issue?
This sounds similar to my issue. I have a surface duo and when asking about how to update the apps on the watch they came to the conclusion that my device (the Duo) is not supported so there's nothing I can do.
First thing to try, if you haven't, is to go to the discover section of the wear app and see if you get anything to load. Mine doesn't which means I could not update the watch apps. From my understanding from forums in the past people have had to trick the Galaxy store app into thinking they have a supported phone which then allowed the galaxy store app to be installed and thus updating the watch apps. I wouldn't recommend this as it could mess with other things. I would still email or provide feedback to Samsung to request they officially support your device in hopes that it will be done.
On a more positive note the pixel and pixel2 are supported so there's hope that the 3 & 4 will be as well.