Heartrate for Google Pixel Watch 3 doesn't enable properly

We got for our daughter a Google Pixel 3 Watch, as it supports HA and she wears a pacemaker that suddenly failed (an emotional rollercoaster :scream:). Now having the watch installed and connected with HA through the Google watch HA App, I fail to be able to activate the heartrate in the device-entities (Mobile applications).

It enables, shows a while “unknown” and then resets to disabled. Any ideas how I can enable that monitor?

Goal is to set HA to alert us instantly if such a life-threatening situation occurs again. In that case there are two scenari: Either she breaks down, or more likely, her pace drops to below 50, which keeps her running but in imminent danger. In which case an alarm shall instantly trigger, not only on her phone, but also with us parents, preferrably through HA. If the pace below 50 for longer than three minutes, emergency interaction is needed, both ambulance emergency trigger and if i.e. in school the class teachers.
The watch itself only triggers when the heart fails complete, which with a pacemaker is not necessarily the case.

As there is an entity, I hope that I get it supported in my HA
? :face_with_peeking_eye:

Thanks a million for any guiding ideas!! :pray:

Aside. I didn’t put this into mobile app but configuration as I think this is an issue I have on the server, not related to the App? If wrong, apologies!