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Apple Watch Hypertension Alerts Go Live in Germany With Modest Detection Rates

Using PPG pattern analysis over 30 days, the feature serves as a prompt for medical follow-up.

Overview

  • Apple activated the hypertension notifications with watchOS 26 and iOS 26 this week, making them available in Germany on Series 9, Series 11, Ultra 2 and Ultra 3, but not on Apple Watch SE.
  • Apple’s validation reports detection in about 40% of hypertensive users on average, with roughly 30% for Grade 1 and about 50% for Grade 2 cases.
  • The system does not measure blood pressure; it analyzes daytime photoplethysmography data and sends a notice only after 30 days of qualifying patterns, excluding sleep data.
  • False alarms were described as relatively rare in Apple’s study, and a significant share of those flagged without confirmed hypertension showed mildly elevated readings.
  • Apple estimates more than one million users could receive notifications in the first year, and coverage advises confirmation with a medical cuff and consultation with a clinician.