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Upgrading to Apple Watch Series 12 Could Cost You Hypertension Notifications

Some Apple Watch users who upgrade to the Series 12 or the Ultra 4 might temporarily lose access to hypertension notifications.

watchos 26 hypertension alert
On the watchOS feature availability page, Apple says notifications might not be available on the Series 12 or Ultra 4 at launch because regulatory clearances are in process.

Hypertension Notifications may not be available on Apple Watch Series 12 or Ultra 4 in your region, as additional regulatory clearances for these devices are in process.

The warning applies to 33 countries and regions, including Canada, Australia, India, Brazil, Singapore, Japan, Taiwan, South Africa, South Korea, and the UAE, with a full list on Apple's website.

The Apple Watch Series 12 and Apple Watch Ultra 4 have revamped sensors and a new Health Sensing System. Apple added new optical and electrical heart sensors for more frequent and accurate tracking, and the change appears to require new regulatory approval in some locations.

What's new:

  • ECG - The electrodes in the watch cover more surface area for improved skin contact during ECG readings.
  • Optical sensing - Redesigned photodiodes are organized in a ring to capture light more efficiently.
  • Heart rate measurement - Larger, power-efficient green LEDs in the optical heart rate sensor allow the new watches to measure heart rate every five seconds all day, offering more data on a user's fitness and physiological state. Real-time heart rate is available in the updated Heart Rate app, and Exercise and Move Activity rings are more accurate. HRV is also measured as often as every five minutes.

Apple Watch users who get these notifications today may lose the option when upgrading to the Series 12 or Ultra 4 until regulatory clearance is granted.

Countries not on Apple's list with a footnote will continue to get notifications as usual. This includes the United States, UK, and all EU countries.

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Top Rated Comments

jonnysods Avatar
7 hours ago at 12:06 pm
I already know I have hypertension, so all good here AW12!
Score: 3 Votes (Like | Disagree)
winxmac Avatar
7 hours ago at 12:14 pm
How I saw it: Upgrading to Apple Watch Series 12 Could Cause You Hypertension
Score: 2 Votes (Like | Disagree)
27 minutes ago at 06:18 pm

Having to withhold software that would otherwise improve health seems like a massive regulatory failure to me.

If the software doesn't work, how much harm would releasing it cause? Vs if the software works, how much harm could be avoided by releasing it?

The worst outcome I can imagine from the software not working is it increases the number of people going to the doctor, possibly overburdening doctors, but otherwise, this seems like a benefit where doctors might find other reasons you should have come in anyways.

If it's maliciously released prematurely, fine the offender enough that they don't repeat, but otherwise this just seems... wrong.
To the contrary, the software in question is not a hypertension alarm, or realtime sensor. It's not currently possible to measure blood pressure without a cuff.

This feature is a screening tool -- it looks at small blood vessels, looking for signs of damage / indications of hypertension in the past. When it works it hopefully results in more people going to the doctor and getting checked out.

But there are tests and reviews that have to be done to make sure that it works. There's no urgency here.
Score: 1 Votes (Like | Disagree)
goobot Avatar
3 hours ago at 03:33 pm
I get notifications for hypertension and just went to my dr the other week. I don't have hypertension and after going through the data with my dr they saw its always in the morning it says it and apparently that's normal.
Score: 1 Votes (Like | Disagree)
5 hours ago at 01:26 pm

Having to withhold software that would otherwise improve health seems like a massive regulatory failure to me.

If the software doesn't work, how much harm would releasing it cause? Vs if the software works, how much harm could be avoided by releasing it?

The worst outcome I can imagine from the software not working is it increases the number of people going to the doctor, possibly overburdening doctors, but otherwise, this seems like a benefit where doctors might find other reasons you should have come in anyways.

If it's maliciously released prematurely, fine the offender enough that they don't repeat, but otherwise this just seems... wrong.
I suspect it is more that the software needs to be revalidated against the new sensor hardware. They may also have tweaks to the measurements and algorithms to factor in the hardware changes that need to be revalidated.
Score: 1 Votes (Like | Disagree)

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